NPI: 1831623156 · PENSACOLA, FL 32503 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/13/2017
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 3,059 | $164K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 378 | 376 | $76K |
| D7240 | Removal of impacted tooth - completely bony | 706 | 227 | $60K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 868 | 331 | $17K |
| D0140 | Limited oral evaluation - problem focused | 592 | 586 | $10K |
| D9222 | 377 | 376 | $0.00 | |
| D7250 | 32 | 16 | $0.00 | |
| D7220 | 17 | 12 | $0.00 | |
| D9310 | 13 | 13 | $0.00 | |
| D7230 | 49 | 28 | $0.00 | |
| D0330 | Panoramic radiographic image | 13 | 13 | $0.00 |
| D9219 | 14 | 13 | $0.00 |