DR. JEFFRY PERSONS
NPI: 1699190710
· TUSTIN, CA 92780
· Point of Service
· NPI assigned 02/26/2014
$1.63M
Total Medicaid Paid
Provider Details
| Authorized Official | WONG, SUE (MANAGER) |
| NPI Enumeration Date | 02/26/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,904 |
$1.07M |
| 2019 |
5,278 |
$562K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,056 |
1,385 |
$358K |
| D7240 |
Removal of impacted tooth - completely bony |
1,476 |
722 |
$340K |
| D9220 |
|
1,365 |
1,354 |
$269K |
| D7230 |
|
1,033 |
558 |
$194K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,740 |
2,732 |
$150K |
| D9610 |
|
1,743 |
1,392 |
$105K |
| D9221 |
|
1,169 |
1,105 |
$87K |
| D0330 |
Panoramic radiographic image |
2,905 |
2,897 |
$82K |
| D7220 |
|
126 |
86 |
$18K |
| D7140 |
Extraction, erupted tooth or exposed root |
270 |
108 |
$15K |
| D9430 |
|
249 |
242 |
$8K |
| D9241 |
|
19 |
19 |
$1K |
| D9242 |
|
19 |
18 |
$619.50 |
| D0220 |
Intraoral - periapical first radiographic image |
12 |
12 |
$120.00 |