LUU, JAROM
NPI: 1750473005
· SEATTLE, WA 98195
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/28/2006
$531K
Total Medicaid Paid
5,276
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
11,981 |
$531K |
| 2019 |
16 |
$0.00 |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,666 |
824 |
$256K |
| D9310 |
|
1,965 |
1,666 |
$74K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,615 |
626 |
$36K |
| D7230 |
|
402 |
169 |
$34K |
| D7140 |
Extraction, erupted tooth or exposed root |
768 |
125 |
$33K |
| D9222 |
|
653 |
558 |
$29K |
| D0330 |
Panoramic radiographic image |
968 |
857 |
$24K |
| D7240 |
Removal of impacted tooth - completely bony |
184 |
64 |
$17K |
| D7310 |
|
206 |
53 |
$10K |
| D7220 |
|
85 |
43 |
$9K |
| D7250 |
|
60 |
16 |
$4K |
| D9612 |
|
425 |
275 |
$4K |