KOONING, JAN
NPI: 1770599144
· PORTLAND, OR 97217
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/31/2006
$292K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
178 |
$34K |
| 2019 |
772 |
$127K |
| 2020 |
233 |
$31K |
| 2021 |
341 |
$59K |
| 2023 |
101 |
$15K |
| 2024 |
181 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
436 |
124 |
$98K |
| D9612 |
|
288 |
284 |
$41K |
| D9222 |
|
87 |
87 |
$39K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
170 |
87 |
$34K |
| D0140 |
Limited oral evaluation - problem focused |
401 |
398 |
$33K |
| D7240 |
Removal of impacted tooth - completely bony |
73 |
27 |
$30K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
165 |
162 |
$15K |
| D9610 |
|
12 |
12 |
$680.00 |
| D9999 |
Unspecified adjunctive procedure, by report |
174 |
173 |
$0.00 |