PALM & PANEK DDS PC
NPI: 1649361999
· GRAND RAPIDS, MI 49525
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/28/2006
$248K
Total Medicaid Paid
Provider Details
| Authorized Official | HANES, SAMANTHA (BUSINESS OFFICE MANAGER) |
| NPI Enumeration Date | 09/28/2006 |
Related Entities
Other providers sharing the same authorized official: HANES, SAMANTHA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
937 |
$121K |
| 2019 |
770 |
$107K |
| 2020 |
28 |
$3K |
| 2021 |
53 |
$4K |
| 2022 |
179 |
$12K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
256 |
131 |
$74K |
| D9310 |
|
824 |
822 |
$57K |
| D7230 |
|
180 |
110 |
$44K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
283 |
246 |
$30K |
| D9222 |
|
245 |
245 |
$27K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
53 |
26 |
$7K |
| D0330 |
Panoramic radiographic image |
126 |
124 |
$7K |