GRAND TRAVERSE ORAL SURGERY, P.C.
NPI: 1003095605
· TRAVERSE CITY, MI 49684
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/31/2007
$3.55M
Total Medicaid Paid
Provider Details
| Authorized Official | SCHLUETER, SUSAN (OFFICE MANAGER) |
| NPI Enumeration Date | 10/31/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,521 |
$227K |
| 2019 |
1,932 |
$294K |
| 2020 |
6,041 |
$886K |
| 2021 |
3,651 |
$444K |
| 2022 |
4,367 |
$530K |
| 2023 |
4,614 |
$567K |
| 2024 |
4,415 |
$599K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
4,155 |
1,705 |
$1.02M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,028 |
1,826 |
$883K |
| D9243 |
|
4,129 |
4,012 |
$410K |
| D9239 |
|
4,053 |
4,011 |
$407K |
| D7230 |
|
1,175 |
703 |
$279K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,658 |
973 |
$256K |
| D0140 |
Limited oral evaluation - problem focused |
3,230 |
3,229 |
$197K |
| D0330 |
Panoramic radiographic image |
2,113 |
2,104 |
$94K |