JEFFERY B WHEATON DDS MD AND ASSOCIATES LLC
NPI: 1881011864
· SANTA FE, NM 87505
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/27/2014
$416K
Total Medicaid Paid
Provider Details
| Authorized Official | WHEATON, JEFFERY (OWNER) |
| Parent Organization | JEFFERY B WHEATON DDS MD AND ASSOC LLC |
| NPI Enumeration Date | 03/27/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
554 |
$35K |
| 2019 |
2,398 |
$219K |
| 2020 |
914 |
$97K |
| 2021 |
487 |
$36K |
| 2022 |
317 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
890 |
332 |
$170K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,544 |
632 |
$133K |
| D7230 |
|
236 |
119 |
$39K |
| D0140 |
Limited oral evaluation - problem focused |
1,084 |
1,081 |
$31K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
181 |
69 |
$20K |
| D9610 |
|
603 |
600 |
$15K |
| D9222 |
|
107 |
107 |
$6K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$1K |