NPI: 1699115204 · MONUMENT, CO 80132 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/27/2013
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 105 | $8K |
| 2019 | 1,260 | $170K |
| 2022 | 72 | $7K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 321 | 130 | $50K |
| D7240 | Removal of impacted tooth - completely bony | 185 | 39 | $50K |
| D9243 | 163 | 110 | $35K | |
| D9239 | 163 | 111 | $17K | |
| D0330 | Panoramic radiographic image | 286 | 235 | $14K |
| D0160 | 109 | 79 | $8K | |
| D0140 | Limited oral evaluation - problem focused | 186 | 166 | $6K |
| D7230 | 24 | 14 | $5K |