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PLAISTOW DENTAL IMPLANT AND ORAL SURGERY CENTER
PLAISTOW DENTAL IMPLANT AND ORAL SURGERY CENTER
NPI: 1104430131
· PLAISTOW, NH 03865
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 09/08/2020
$260K
Total Medicaid Paid
Provider Details
| Authorized Official | STIEFEL, KYLE (OWNER/DOCTOR) |
| NPI Enumeration Date | 09/08/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
13 |
$621.92 |
| 2022 |
251 |
$16K |
| 2023 |
860 |
$118K |
| 2024 |
790 |
$126K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
437 |
140 |
$107K |
| D9222 |
|
329 |
311 |
$78K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
572 |
313 |
$45K |
| D0140 |
Limited oral evaluation - problem focused |
550 |
513 |
$26K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
26 |
15 |
$3K |