DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI: 1053561779
· HUNTINGTON, WV 25701
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/30/2008
$2.15M
Total Medicaid Paid
Provider Details
| Authorized Official | COYNER, LESLEY (CREDENTIALING) |
| NPI Enumeration Date | 09/30/2008 |
Related Entities
Other providers sharing the same authorized official: COYNER, LESLEY
| Provider | City | State | Total Paid |
|---|
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$974K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$789K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PARKERSBURG |
WV |
$582K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
HURRICANE |
WV |
$534K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$467K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$179K |
| INDIAN LAND ORAL & FACIAL SURGERY LLC |
FORT MILL |
SC |
$20K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$18K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PRINCETON |
WV |
$18K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,407 |
$139K |
| 2019 |
2,980 |
$325K |
| 2020 |
2,995 |
$346K |
| 2022 |
3,732 |
$530K |
| 2023 |
12,581 |
$647K |
| 2024 |
8,666 |
$160K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
13,642 |
2,331 |
$1.15M |
| D7240 |
Removal of impacted tooth - completely bony |
2,600 |
937 |
$354K |
| D9222 |
|
3,209 |
3,102 |
$220K |
| D0140 |
Limited oral evaluation - problem focused |
3,418 |
3,310 |
$103K |
| D0330 |
Panoramic radiographic image |
2,149 |
2,111 |
$83K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,581 |
1,391 |
$65K |
| D7230 |
|
417 |
287 |
$54K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,300 |
365 |
$41K |
| D7220 |
|
424 |
260 |
$33K |
| D7310 |
|
1,192 |
393 |
$30K |
| D9612 |
|
340 |
332 |
$7K |
| D7250 |
|
1,839 |
369 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
234 |
231 |
$4K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
16 |
16 |
$0.00 |