ILSHAHUOME DENTAL SURGERY
NPI: 1043985146
· ATTLEBORO FALLS, MA 02763
· Dental Clinic/Center
· NPI assigned 08/11/2021
$192K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
609 |
$43K |
| 2023 |
790 |
$68K |
| 2024 |
897 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9243 |
|
805 |
285 |
$72K |
| D0330 |
Panoramic radiographic image |
401 |
385 |
$29K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
581 |
562 |
$27K |
| D9239 |
|
295 |
284 |
$26K |
| D7240 |
Removal of impacted tooth - completely bony |
64 |
24 |
$22K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
104 |
50 |
$13K |
| D7140 |
Extraction, erupted tooth or exposed root |
46 |
12 |
$4K |