NPI: 1750072856 · MANASSAS, VA 20110 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/18/2023
| Authorized Official | SOHN, KRISTEN (REGIONAL DIRECTOR) |
| NPI Enumeration Date | 05/18/2023 |
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 26 | $0.00 |
| 2024 | 571 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 95 | 95 | $0.00 |
| D9610 | 50 | 50 | $0.00 | |
| D9219 | 48 | 48 | $0.00 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 98 | 51 | $0.00 |
| D9222 | 49 | 49 | $0.00 | |
| D7240 | Removal of impacted tooth - completely bony | 135 | 42 | $0.00 |
| D9310 | 122 | 122 | $0.00 |