NPI: 1619919545 · MESQUITE, TX 75150 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/12/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 38 | $1K |
| 2021 | 1,085 | $74K |
| 2022 | 726 | $80K |
| 2023 | 1,734 | $188K |
| 2024 | 417 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 949 | 304 | $264K |
| D0330 | Panoramic radiographic image | 690 | 684 | $42K |
| D9243 | 773 | 397 | $24K | |
| D9239 | 397 | 396 | $22K | |
| D9612 | 424 | 423 | $15K | |
| D0140 | Limited oral evaluation - problem focused | 409 | 408 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 123 | 121 | $4K |
| D1330 | 49 | 49 | $526.75 | |
| D0602 | 186 | 183 | $0.00 |