PREMIER ORAL SURGERY AND IMPLANTS, PLC
NPI: 1033594411
· GRAND BLANC, MI 48439
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/27/2015
$516K
Total Medicaid Paid
Provider Details
| Authorized Official | YORTON, TRESHA (OFFICE MANAGER) |
| NPI Enumeration Date | 07/27/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
93 |
$9K |
| 2019 |
83 |
$7K |
| 2020 |
337 |
$26K |
| 2021 |
1,161 |
$95K |
| 2022 |
1,808 |
$148K |
| 2023 |
1,676 |
$141K |
| 2024 |
976 |
$90K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,943 |
796 |
$203K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,671 |
1,670 |
$103K |
| D9222 |
|
817 |
814 |
$84K |
| D7240 |
Removal of impacted tooth - completely bony |
276 |
113 |
$57K |
| D7230 |
|
160 |
77 |
$36K |
| D0330 |
Panoramic radiographic image |
533 |
530 |
$17K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
63 |
28 |
$10K |
| D9310 |
|
28 |
28 |
$2K |
| D9243 |
|
14 |
12 |
$2K |
| D9239 |
|
12 |
12 |
$1K |
| D9612 |
|
617 |
614 |
$0.00 |