SAN JUAN ORAL & FACIAL SURGERY
NPI: 1104228329
· FARMINGTON, NM 87402
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/18/2014
$2.84M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,457 |
$424K |
| 2019 |
4,792 |
$464K |
| 2020 |
2,371 |
$221K |
| 2021 |
4,341 |
$434K |
| 2022 |
3,655 |
$404K |
| 2023 |
3,852 |
$419K |
| 2024 |
4,195 |
$471K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
8,949 |
2,855 |
$1.62M |
| D9239 |
|
1,910 |
1,886 |
$237K |
| D9243 |
|
2,536 |
1,885 |
$198K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,841 |
1,714 |
$171K |
| D0140 |
Limited oral evaluation - problem focused |
5,556 |
5,370 |
$155K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,564 |
538 |
$99K |
| D9222 |
|
1,775 |
1,707 |
$97K |
| D7230 |
|
602 |
383 |
$94K |
| D0330 |
Panoramic radiographic image |
1,846 |
1,798 |
$87K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
499 |
180 |
$55K |
| D9610 |
|
499 |
475 |
$11K |
| D7220 |
|
56 |
40 |
$7K |
| D0366 |
|
12 |
12 |
$4K |
| D9219 |
|
18 |
18 |
$39.51 |