NORTH SUNFLOWER MEDICAL CENTER DENTISTS
NPI: 1104037738
· RULEVILLE, MS 38771
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/25/2007
$1.45M
Total Medicaid Paid
Provider Details
| Authorized Official | CEJA, JOSE (CEO) |
| NPI Enumeration Date | 05/25/2007 |
Related Entities
Other providers sharing the same authorized official: CEJA, JOSE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,339 |
$205K |
| 2019 |
2,048 |
$167K |
| 2020 |
837 |
$60K |
| 2021 |
1,950 |
$225K |
| 2022 |
1,796 |
$214K |
| 2023 |
1,987 |
$241K |
| 2024 |
2,635 |
$334K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,767 |
1,114 |
$677K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,468 |
1,196 |
$433K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,003 |
713 |
$138K |
| D9310 |
|
1,475 |
1,273 |
$59K |
| D0140 |
Limited oral evaluation - problem focused |
2,269 |
1,637 |
$58K |
| D7241 |
|
710 |
78 |
$31K |
| D7250 |
|
355 |
63 |
$21K |
| D7230 |
|
200 |
79 |
$18K |
| D7311 |
|
226 |
52 |
$7K |
| D7310 |
|
29 |
13 |
$3K |
| D0330 |
Panoramic radiographic image |
27 |
22 |
$1K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
63 |
27 |
$0.00 |