KHM SURGICAL PARTNERSHIP
NPI: 1114304250
· NAMPA, ID 83686
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 04/28/2015
$353K
Total Medicaid Paid
Provider Details
| Authorized Official | GREEN, KAYLYN (ACCESS MANAGER) |
| NPI Enumeration Date | 04/28/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
904 |
$45K |
| 2020 |
2,116 |
$120K |
| 2021 |
158 |
$8K |
| 2022 |
651 |
$29K |
| 2023 |
2,797 |
$93K |
| 2024 |
1,469 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
616 |
228 |
$134K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
788 |
162 |
$76K |
| D0330 |
Panoramic radiographic image |
1,303 |
1,274 |
$56K |
| D7230 |
|
253 |
107 |
$38K |
| D9222 |
|
1,204 |
1,174 |
$18K |
| D0140 |
Limited oral evaluation - problem focused |
2,100 |
2,066 |
$17K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,418 |
1,154 |
$14K |
| D9612 |
|
413 |
407 |
$644.00 |