SUMMIT ORAL SURGERY & IMPLANT CENTER
NPI: 1073656567
· BILLINGS, MT 59106
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/14/2007
$2.52M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,193 |
$465K |
| 2019 |
3,837 |
$424K |
| 2020 |
3,722 |
$383K |
| 2021 |
5,236 |
$569K |
| 2022 |
4,067 |
$424K |
| 2023 |
1,948 |
$209K |
| 2024 |
358 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
4,999 |
1,747 |
$1.09M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,931 |
4,211 |
$466K |
| D9222 |
|
4,135 |
3,939 |
$342K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,629 |
979 |
$318K |
| D0140 |
Limited oral evaluation - problem focused |
4,746 |
4,521 |
$149K |
| D7230 |
|
385 |
209 |
$72K |
| D7140 |
Extraction, erupted tooth or exposed root |
915 |
255 |
$50K |
| D0330 |
Panoramic radiographic image |
358 |
352 |
$16K |
| D9310 |
|
240 |
235 |
$12K |
| D7220 |
|
23 |
12 |
$4K |