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VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC
VT CENTER FOR DENTAL IMPLANTS AND MAXILLOFACIAL SURGERY LLC
NPI: 1063699767
· COLCHESTER, VT 05446
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/24/2008
$2.63M
Total Medicaid Paid
Provider Details
| Authorized Official | DIKE, LISA (PRACTICE MANAGER) |
| NPI Enumeration Date | 01/24/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,904 |
$304K |
| 2019 |
2,675 |
$291K |
| 2020 |
2,708 |
$281K |
| 2021 |
4,037 |
$428K |
| 2022 |
3,546 |
$444K |
| 2023 |
3,328 |
$525K |
| 2024 |
1,808 |
$354K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,973 |
1,297 |
$983K |
| D9222 |
|
3,086 |
2,934 |
$471K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,854 |
1,584 |
$361K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,368 |
2,249 |
$292K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,593 |
843 |
$239K |
| D0140 |
Limited oral evaluation - problem focused |
5,845 |
5,620 |
$234K |
| D7230 |
|
114 |
67 |
$29K |
| D7250 |
|
121 |
40 |
$14K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
39 |
38 |
$2K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$705.00 |