MONTAZEM, ANDRE
NPI: 1740242437
· NEW YORK, NY 10029
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 04/06/2006
$120K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,129 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
503 |
155 |
$31K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
396 |
203 |
$27K |
| D7240 |
Removal of impacted tooth - completely bony |
99 |
39 |
$21K |
| D7140 |
Extraction, erupted tooth or exposed root |
234 |
95 |
$12K |
| D9222 |
|
205 |
203 |
$12K |
| D7230 |
|
45 |
30 |
$6K |
| D0330 |
Panoramic radiographic image |
308 |
308 |
$5K |
| D9310 |
|
148 |
148 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
191 |
191 |
$2K |