NPI: 1639344930 · DETROIT, MI 48236 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/28/2008
Authorized official CEBALT, KIMBERLY controls 20+ related entities in our dataset. Read more
| Authorized Official | CEBALT, KIMBERLY (DIRECTOR) |
| NPI Enumeration Date | 04/28/2008 |
Other providers sharing the same authorized official: CEBALT, KIMBERLY
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 6,355 | $303K |
| 2019 | 6,867 | $330K |
| 2020 | 3,134 | $118K |
| 2021 | 4,975 | $220K |
| 2022 | 7,002 | $334K |
| 2023 | 4,246 | $482K |
| 2024 | 3,934 | $444K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 11,437 | 3,395 | $794K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 3,807 | 2,161 | $321K |
| D7140 | Extraction, erupted tooth or exposed root | 5,530 | 1,681 | $307K |
| D7240 | Removal of impacted tooth - completely bony | 968 | 472 | $186K |
| D9310 | 4,981 | 4,962 | $173K | |
| D9222 | 2,431 | 2,395 | $167K | |
| D7230 | 1,116 | 686 | $145K | |
| D0330 | Panoramic radiographic image | 3,126 | 3,114 | $75K |
| D1110 | Prophylaxis - adult | 744 | 743 | $21K |
| D0140 | Limited oral evaluation - problem focused | 475 | 472 | $11K |
| D0120 | Periodic oral evaluation - established patient | 616 | 615 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 258 | 258 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 110 | 110 | $4K |
| D9243 | 48 | 31 | $4K | |
| D0220 | Intraoral - periapical first radiographic image | 489 | 482 | $3K |
| D9239 | 45 | 45 | $2K | |
| D0274 | Bitewings - four radiographic images | 19 | 19 | $306.57 |
| D0230 | Intraoral - periapical each additional radiographic image | 25 | 22 | $132.54 |
| D9995 | 288 | 287 | $0.00 |