AVIE ORAL SURGERY GROUP
NPI: 1013360858
· ODENTON, MD 21113
· Dental Clinic/Center
· NPI assigned 07/17/2016
$1.10M
Total Medicaid Paid
Provider Details
| Authorized Official | BUCKLE, EDNA (PRESIDENT) |
| NPI Enumeration Date | 07/17/2016 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
502 |
$69K |
| 2019 |
345 |
$49K |
| 2020 |
109 |
$7K |
| 2021 |
257 |
$41K |
| 2022 |
209 |
$17K |
| 2023 |
1,994 |
$280K |
| 2024 |
4,159 |
$634K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,091 |
402 |
$322K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,752 |
398 |
$235K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
876 |
871 |
$205K |
| D7220 |
|
515 |
275 |
$81K |
| D9222 |
|
880 |
875 |
$67K |
| D7230 |
|
276 |
169 |
$64K |
| D0140 |
Limited oral evaluation - problem focused |
953 |
942 |
$45K |
| D9310 |
|
671 |
664 |
$32K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
229 |
70 |
$26K |
| D0330 |
Panoramic radiographic image |
291 |
291 |
$13K |
| D9248 |
|
41 |
41 |
$8K |