L ALAN BACON DDS PC & JOHN COLLINS DDS PC
NPI: 1609878388
· BRISTOL, TN 37620
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/12/2005
Provider Details
| Authorized Official | FULLER, DONNA (OFFICE MANAGER) |
| NPI Enumeration Date | 08/12/2005 |
Related Entities
Other providers sharing the same authorized official: FULLER, DONNA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
37 |
$896.04 |
| 2021 |
86 |
$2K |
| 2022 |
401 |
$38K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
104 |
29 |
$22K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
103 |
59 |
$8K |
| D9222 |
|
83 |
72 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
222 |
208 |
$5K |
| D9612 |
|
12 |
12 |
$101.38 |