WEST SHORE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PLC
NPI: 1053458604
· NORTON SHORES, MI 49444
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/31/2007
$244K
Total Medicaid Paid
Provider Details
| Authorized Official | BURYE, MARK (OWNER) |
| NPI Enumeration Date | 01/31/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
463 |
$40K |
| 2019 |
582 |
$42K |
| 2020 |
681 |
$53K |
| 2021 |
1,030 |
$81K |
| 2022 |
335 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9222 |
|
885 |
875 |
$77K |
| D0140 |
Limited oral evaluation - problem focused |
1,036 |
1,036 |
$60K |
| D7140 |
Extraction, erupted tooth or exposed root |
558 |
265 |
$42K |
| D7240 |
Removal of impacted tooth - completely bony |
170 |
66 |
$25K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
269 |
260 |
$22K |
| D7230 |
|
64 |
38 |
$12K |
| D0330 |
Panoramic radiographic image |
92 |
91 |
$5K |
| D7220 |
|
17 |
12 |
$3K |