FERGUSON, KOBY
NPI: 1770852022
· PORTSMOUTH, VA 23708
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/15/2011
$0.00
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
282 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
145 |
33 |
$0.00 |
| D0220 |
Intraoral - periapical first radiographic image |
18 |
18 |
$0.00 |
| D0330 |
Panoramic radiographic image |
18 |
18 |
$0.00 |
| D0140 |
Limited oral evaluation - problem focused |
70 |
69 |
$0.00 |
| D0230 |
Intraoral - periapical each additional radiographic image |
31 |
13 |
$0.00 |