BRANDON C. PAYNE D.D.S., M.D., P.C.
NPI: 1790993376
· PUEBLO, CO 81008
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/18/2007
$585K
Total Medicaid Paid
Provider Details
| Authorized Official | PAYNE, BRANDON (PRESIDENT) |
| NPI Enumeration Date | 05/18/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
431 |
$30K |
| 2019 |
331 |
$23K |
| 2020 |
704 |
$66K |
| 2021 |
1,294 |
$136K |
| 2022 |
1,147 |
$129K |
| 2023 |
1,316 |
$156K |
| 2024 |
441 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,670 |
834 |
$259K |
| D7240 |
Removal of impacted tooth - completely bony |
622 |
286 |
$160K |
| D0140 |
Limited oral evaluation - problem focused |
2,293 |
2,255 |
$79K |
| D9243 |
|
162 |
159 |
$27K |
| D0330 |
Panoramic radiographic image |
454 |
449 |
$23K |
| D9239 |
|
163 |
160 |
$17K |
| D9219 |
|
224 |
219 |
$9K |
| D7230 |
|
37 |
25 |
$8K |
| D7140 |
Extraction, erupted tooth or exposed root |
39 |
14 |
$4K |