CHACON, GUILLERMO
NPI: 1619047511
· PUYALLUP, WA 98373
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/08/2006
$265K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
397 |
$27K |
| 2019 |
1,344 |
$118K |
| 2020 |
1,828 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,080 |
313 |
$151K |
| D9222 |
|
543 |
522 |
$37K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
460 |
411 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
752 |
740 |
$22K |
| D0330 |
Panoramic radiographic image |
138 |
138 |
$5K |
| D1999 |
|
359 |
316 |
$5K |
| D7230 |
|
36 |
15 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
72 |
27 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
129 |
129 |
$2K |