NPI: 1982748752 · HOUSTON, TX 77024 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/16/2007
| Year | Claims | Total Paid |
|---|---|---|
| 2023 | 253 | $20K |
| 2024 | 33 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 48 | 15 | $13K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 84 | 30 | $3K |
| D0330 | Panoramic radiographic image | 33 | 33 | $2K |
| D9222 | 30 | 30 | $2K | |
| D0140 | Limited oral evaluation - problem focused | 35 | 35 | $638.52 |
| D9610 | 30 | 30 | $430.08 | |
| D9219 | 14 | 14 | $212.00 | |
| D1330 | 12 | 12 | $134.75 |