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MAINE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A.
MAINE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, P.A.
NPI: 1063468163
· AUBURN, ME 04210
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/26/2006
$3.50M
Total Medicaid Paid
Provider Details
| Authorized Official | GALLUP, BRUCE (PRESIDENT/SURGEON) |
| NPI Enumeration Date | 05/26/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,546 |
$432K |
| 2019 |
4,880 |
$456K |
| 2020 |
5,797 |
$505K |
| 2021 |
5,677 |
$507K |
| 2022 |
4,559 |
$451K |
| 2023 |
4,810 |
$510K |
| 2024 |
5,096 |
$639K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
25,502 |
5,114 |
$2.29M |
| D9222 |
|
5,593 |
5,472 |
$770K |
| D7240 |
Removal of impacted tooth - completely bony |
1,251 |
428 |
$249K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
666 |
600 |
$90K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
284 |
92 |
$37K |
| D0140 |
Limited oral evaluation - problem focused |
1,612 |
1,573 |
$33K |
| D0330 |
Panoramic radiographic image |
328 |
313 |
$24K |
| D7230 |
|
41 |
26 |
$8K |
| D0220 |
Intraoral - periapical first radiographic image |
88 |
88 |
$884.94 |