CONNECTICUT ORAL SURGERY AND IMPLANT CENTER, PLLC
NPI: 1053951350
· EAST LYME, CT 06333
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/14/2020
$824K
Total Medicaid Paid
Provider Details
| Authorized Official | MATTON, SETH (SURGEON/ OWNER) |
| NPI Enumeration Date | 01/14/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
151 |
$20K |
| 2021 |
667 |
$109K |
| 2022 |
2,299 |
$330K |
| 2023 |
1,633 |
$231K |
| 2024 |
1,085 |
$135K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
789 |
721 |
$243K |
| D7230 |
|
920 |
308 |
$229K |
| D9613 |
|
521 |
489 |
$99K |
| D9222 |
|
740 |
697 |
$81K |
| D0330 |
Panoramic radiographic image |
587 |
564 |
$46K |
| D7240 |
Removal of impacted tooth - completely bony |
179 |
54 |
$43K |
| D0140 |
Limited oral evaluation - problem focused |
833 |
796 |
$36K |
| D9610 |
|
681 |
604 |
$16K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
289 |
276 |
$16K |
| D0160 |
|
242 |
237 |
$11K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
22 |
12 |
$3K |
| D9612 |
|
32 |
28 |
$0.00 |