SAINT JOSEPH ORAL & MAXILLOFACIAL
NPI: 1104956630
· LAREDO, TX 78041
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 03/06/2007
$394K
Total Medicaid Paid
Provider Details
| Authorized Official | TREVINO, CESAR (OWNER) |
| NPI Enumeration Date | 03/06/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,765 |
$144K |
| 2023 |
1,439 |
$107K |
| 2024 |
1,922 |
$142K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
989 |
304 |
$265K |
| D9243 |
|
917 |
350 |
$35K |
| D0330 |
Panoramic radiographic image |
629 |
607 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
637 |
615 |
$19K |
| D9239 |
|
386 |
353 |
$19K |
| D9612 |
|
322 |
307 |
$11K |
| D0350 |
|
601 |
582 |
$9K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
13 |
$243.99 |
| D0601 |
|
630 |
613 |
$0.00 |