FORT DODGE ORAL AND MAXILLOFACIAL SURGERY LLP
NPI: 1841324084
· FORT DODGE, IA 50501
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/16/2007
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
36 |
$3K |
| 2019 |
103 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
75 |
38 |
$6K |
| D7240 |
Removal of impacted tooth - completely bony |
24 |
12 |
$4K |
| D9222 |
|
26 |
26 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
14 |
14 |
$307.08 |