CARDOSO, ANDRE
NPI: 1851596555
· NORTH SYRACUSE, NY 13212
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/20/2007
$237K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
43 |
$9K |
| 2019 |
725 |
$150K |
| 2020 |
302 |
$61K |
| 2021 |
67 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
917 |
274 |
$213K |
| D9310 |
|
89 |
89 |
$7K |
| D9222 |
|
51 |
51 |
$7K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
13 |
13 |
$2K |
| D9239 |
|
15 |
15 |
$2K |
| D9243 |
|
15 |
15 |
$2K |
| D0330 |
Panoramic radiographic image |
24 |
24 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$975.00 |