FACE AND JAW SURGEONS PC
NPI: 1104863505
· MINOT, ND 58701
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/02/2006
$123K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: DEATHERAGE, JOSEPH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,040 |
$91K |
| 2019 |
425 |
$32K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
354 |
210 |
$37K |
| D9222 |
|
256 |
229 |
$29K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
95 |
31 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
367 |
338 |
$14K |
| D7240 |
Removal of impacted tooth - completely bony |
38 |
12 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
127 |
42 |
$10K |
| D9612 |
|
152 |
129 |
$5K |
| D0330 |
Panoramic radiographic image |
38 |
31 |
$2K |
| D9630 |
|
38 |
36 |
$0.00 |