GUILLERMO E CHACON, DDS, PS
NPI: 1942820626
· PUYALLUP, WA 98373
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/22/2020
$201K
Total Medicaid Paid
Provider Details
| Authorized Official | CHACON, GUILLERMO (PRESIDENT/OWNER) |
| NPI Enumeration Date | 04/22/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
798 |
$61K |
| 2021 |
1,378 |
$86K |
| 2022 |
562 |
$26K |
| 2023 |
471 |
$24K |
| 2024 |
87 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
682 |
230 |
$87K |
| D9222 |
|
708 |
700 |
$48K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
339 |
329 |
$32K |
| D0140 |
Limited oral evaluation - problem focused |
1,335 |
1,332 |
$27K |
| D7140 |
Extraction, erupted tooth or exposed root |
138 |
74 |
$6K |
| D1999 |
|
82 |
67 |
$760.00 |
| D0367 |
|
12 |
12 |
$0.00 |