ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC
NPI: 1043870645
· SAINT PAUL, MN 55114
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/17/2019
$1.26M
Total Medicaid Paid
Provider Details
| Authorized Official | HAYES, CELIA (CREDENTIALING COORDINATOR) |
| Parent Organization | ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC |
| NPI Enumeration Date | 06/17/2019 |
Related Entities
Other providers sharing the same authorized official: HAYES, CELIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
717 |
$150K |
| 2020 |
852 |
$128K |
| 2021 |
2,874 |
$638K |
| 2022 |
1,055 |
$223K |
| 2023 |
441 |
$41K |
| 2024 |
628 |
$77K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,841 |
751 |
$576K |
| D7240 |
Removal of impacted tooth - completely bony |
398 |
190 |
$194K |
| D7140 |
Extraction, erupted tooth or exposed root |
987 |
427 |
$160K |
| D0140 |
Limited oral evaluation - problem focused |
2,134 |
2,078 |
$155K |
| D7230 |
|
175 |
116 |
$76K |
| D9222 |
|
283 |
274 |
$44K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
326 |
270 |
$44K |
| D7220 |
|
19 |
12 |
$7K |
| D1999 |
|
391 |
382 |
$39.90 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
13 |
13 |
$0.00 |