NPI: 1629173711 · PORTLAND, ME 04102 · Oral and Maxillofacial Pathology Dentist · NPI assigned 09/13/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 433 | $38K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 124 | 54 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 132 | 15 | $9K |
| D7240 | Removal of impacted tooth - completely bony | 68 | 14 | $8K |
| D9222 | 66 | 48 | $7K | |
| D0140 | Limited oral evaluation - problem focused | 43 | 42 | $840.00 |