SOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC
NPI: 1013104892
· BOWLING GREEN, KY 42104
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 09/26/2007
$1.14M
Total Medicaid Paid
Provider Details
| Authorized Official | ALVEY, VICKIE (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 09/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,613 |
$228K |
| 2021 |
2,414 |
$154K |
| 2022 |
5,024 |
$329K |
| 2023 |
3,893 |
$424K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,864 |
985 |
$381K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,106 |
1,473 |
$290K |
| D9222 |
|
1,516 |
1,482 |
$137K |
| D9610 |
|
3,729 |
1,412 |
$113K |
| D7240 |
Removal of impacted tooth - completely bony |
465 |
166 |
$96K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,162 |
1,152 |
$56K |
| D0330 |
Panoramic radiographic image |
880 |
871 |
$41K |
| D7250 |
|
143 |
41 |
$20K |
| D9612 |
|
36 |
36 |
$2K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
16 |
12 |
$0.00 |
| D1999 |
|
27 |
25 |
$0.00 |