DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI: 1073211637
· CHARLESTON, WV 25314
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/22/2023
$179K
Total Medicaid Paid
Provider Details
| Authorized Official | COYNER, LESLEY (ACCTS RECEIVABLE MANAGER) |
| NPI Enumeration Date | 02/22/2023 |
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 |
HUNTINGTON |
WV |
$2.15M |
| 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 |
| 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 |
|---|
| 2023 |
12 |
$359.00 |
| 2024 |
1,397 |
$179K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
295 |
93 |
$72K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
490 |
121 |
$68K |
| D9222 |
|
183 |
179 |
$24K |
| D0140 |
Limited oral evaluation - problem focused |
242 |
237 |
$9K |
| D0330 |
Panoramic radiographic image |
79 |
77 |
$4K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
120 |
116 |
$3K |