BASILIOS COSTARAS, DDS
Oral and Maxillofacial Surgery (Dentist) · PHOENIX, AZ
Individual Active NPI 1053644880
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 150 | 2,071 | $553,179 | $218,068 | $168,080 |
| 2023 | 156 | 2,135 | $599,902 | $237,893 | $183,857 |
| 2022 | 174 | 2,258 | $688,556 | $298,557 | $232,745 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 64450 | Injection of anesthetic agent and/or steroid into other nerve or branch | 328 | $105 | $81 |
| 64405 | Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | 327 | $53 | $41 |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 257 | $0 | $0 |
| 20553 | Injection of trigger points, 3 or more muscles | 249 | $28 | $21 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 192 | $123 | $89 |
| 76100 | X-ray of body plane | 130 | $86 | $65 |
| 21110 | Application and removal of dental fixation device | 121 | $821 | $650 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 68 | $161 | $108 |
| 70355 | X-ray of lower jaws, upper jaws and teeth | 65 | $18 | $14 |
| 70140 | X-ray of face bones, 1-2 views | 65 | $31 | $24 |
| 72040 | X-ray of upper spine, 2-3 views | 65 | $38 | $30 |
| 70220 | X-ray of paranasal sinus, minimum of 3 views | 65 | $36 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | D008677 | AZ |
| General Practice Dentistry | 1223G0001X | D008677 | AZ | |
| Orofacial Pain Dentistry | 1223X2210X | D008677 | AZ |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- No
- Hospice
- Yes
Other Oral and Maxillofacial Surgery (Dentist) providers in Arizona
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- NPI 1366698490
- NPI 1205287448
- NPI 1740486737
- NPI 1275565871
- NPI 1578936977
- NPI 1770144750
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See all Oral and Maxillofacial Surgery (Dentist) providers in Arizona →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.