AMARILLO ORAL SURGERY, LLC
NPI: 1053584425
· AMARILLO, TX 79119
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/08/2008
$674K
Total Medicaid Paid
Provider Details
| Authorized Official | GRAVES, WILLIAM (OWNER/DOCTOR) |
| NPI Enumeration Date | 04/08/2008 |
Related Entities
Other providers sharing the same authorized official: GRAVES, WILLIAM
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
57 |
$2K |
| 2021 |
1,837 |
$141K |
| 2022 |
2,092 |
$206K |
| 2023 |
1,880 |
$186K |
| 2024 |
1,416 |
$138K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,008 |
636 |
$492K |
| D0330 |
Panoramic radiographic image |
1,133 |
1,111 |
$61K |
| D9243 |
|
1,042 |
527 |
$31K |
| D9239 |
|
527 |
519 |
$25K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
421 |
225 |
$15K |
| D9222 |
|
248 |
247 |
$14K |
| D0140 |
Limited oral evaluation - problem focused |
767 |
752 |
$14K |
| D9612 |
|
441 |
436 |
$12K |
| D9310 |
|
216 |
215 |
$3K |
| D9610 |
|
167 |
165 |
$3K |
| D0160 |
|
190 |
185 |
$2K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
67 |
58 |
$2K |
| D0603 |
|
55 |
55 |
$0.00 |