GREATER CHARLOTTE ORAL & FACIAL SURGERY
NPI: 1124595475
· GASTONIA, NC 28054
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/25/2018
$759K
Total Medicaid Paid
6,013
Beneficiary Records
Provider Details
| Authorized Official | HALL, JENNIFER (BILLING SUPERVISOR) |
| NPI Enumeration Date | 10/25/2018 |
Related Entities
Other providers sharing the same authorized official: HALL, JENNIFER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
1,567 |
$134K |
| 2020 |
2,656 |
$232K |
| 2021 |
1,864 |
$170K |
| 2022 |
2,478 |
$206K |
| 2023 |
56 |
$3K |
| 2024 |
190 |
$13K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,604 |
557 |
$312K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,285 |
854 |
$91K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
833 |
305 |
$87K |
| D9222 |
|
1,129 |
1,071 |
$79K |
| D0140 |
Limited oral evaluation - problem focused |
1,693 |
1,623 |
$61K |
| D7140 |
Extraction, erupted tooth or exposed root |
945 |
366 |
$60K |
| D9612 |
|
708 |
680 |
$42K |
| D7230 |
|
88 |
52 |
$15K |
| D0330 |
Panoramic radiographic image |
419 |
400 |
$11K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
14 |
14 |
$676.72 |
| D1999 |
|
53 |
52 |
$0.00 |
| E0700 |
Safety equipment, device or accessory, any type |
40 |
39 |
$0.00 |