BLOOMINGTON ORAL SURGERY LLC
NPI: 1841505252
· BLOOMINGTON, IN 47401
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/10/2010
Provider Details
Related Entities
Other providers sharing the same authorized official: DEVITT, TIMOTHY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
231 |
$306.20 |
| 2019 |
263 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
193 |
68 |
$23K |
| D9243 |
|
90 |
54 |
$5K |
| D9239 |
|
121 |
91 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
90 |
15 |
$0.00 |