TETON ORAL AND MAXILLOFACIAL SURGERY
NPI: 1740776202
· JACKSON, WY 83001
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/09/2018
Provider Details
| Authorized Official | MULLEN, BRIDGET (OFFICE MANAGER) |
| NPI Enumeration Date | 07/09/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
24 |
$2K |
| 2021 |
119 |
$8K |
| 2022 |
246 |
$19K |
| 2023 |
360 |
$36K |
| 2024 |
137 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9222 |
|
272 |
262 |
$29K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
265 |
229 |
$19K |
| D7240 |
Removal of impacted tooth - completely bony |
77 |
26 |
$16K |
| D0140 |
Limited oral evaluation - problem focused |
272 |
263 |
$12K |