TOOTHFAIRY NYC ORAL & MAXILLOFACIAL SURGERY PC
NPI: 1073955878
· NEW YORK, NY 10027
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/22/2013
$1.65M
Total Medicaid Paid
Provider Details
| Authorized Official | DAN, SASHA (CO MANAGER) |
| NPI Enumeration Date | 07/22/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,129 |
$54K |
| 2019 |
1,395 |
$78K |
| 2020 |
1,075 |
$57K |
| 2021 |
1,752 |
$102K |
| 2022 |
7,584 |
$621K |
| 2023 |
7,400 |
$522K |
| 2024 |
2,983 |
$213K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
7,767 |
3,519 |
$686K |
| D9243 |
|
1,536 |
1,528 |
$243K |
| D7240 |
Removal of impacted tooth - completely bony |
604 |
287 |
$190K |
| D0330 |
Panoramic radiographic image |
5,756 |
5,755 |
$182K |
| D9310 |
|
3,090 |
3,090 |
$129K |
| D9239 |
|
1,534 |
1,525 |
$98K |
| D0160 |
|
2,386 |
2,385 |
$78K |
| D7140 |
Extraction, erupted tooth or exposed root |
543 |
215 |
$29K |
| D7230 |
|
61 |
44 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
29 |
29 |
$548.34 |
| D9430 |
|
12 |
12 |
$231.80 |