POTOMAC ORAL & MAXILLOFACIAL SURGERY
NPI: 1821858937
· PRINCE FREDERICK, MD 20678
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/19/2024
Provider Details
| Authorized Official | GARDNER, WENDELL (OWNER) |
| Parent Organization | POTOMAC ORAL & MAXILLOFACIAL SURGERY |
| NPI Enumeration Date | 03/19/2024 |
Related Entities
Other providers sharing the same authorized official: GARDNER, WENDELL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
131 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
25 |
25 |
$6K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
32 |
12 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
49 |
49 |
$2K |
| D9222 |
|
25 |
25 |
$2K |