NPI: 1699852137 · WILLIAMSPORT, PA 17701 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 11/01/2006
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 504 | $76K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 290 | 289 | $24K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 83 | 28 | $23K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 28 | 27 | $13K |
| D0330 | Panoramic radiographic image | 74 | 73 | $8K |
| D9222 | 29 | 28 | $8K |