NPI: 1710335872 · NORTON SHORES, MI 49444 · Dentist · NPI assigned 05/31/2016
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 340 | $37K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 139 | 46 | $16K |
| D7240 | Removal of impacted tooth - completely bony | 39 | 14 | $11K |
| D9222 | 46 | 46 | $5K | |
| D9310 | 48 | 48 | $3K | |
| D0140 | Limited oral evaluation - problem focused | 23 | 23 | $1K |
| D9610 | 45 | 45 | $0.00 |