NORTHWEST ORAL SURGEONS PC
NPI: 1134100902
· SCHERERVILLE, IN 46375
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/09/2005
$1.26M
Total Medicaid Paid
Provider Details
| Authorized Official | WOLF, PAUL (OFFICER) |
| NPI Enumeration Date | 11/09/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,892 |
$70K |
| 2019 |
2,625 |
$323K |
| 2020 |
2,710 |
$365K |
| 2021 |
2,320 |
$301K |
| 2022 |
1,636 |
$203K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,465 |
1,491 |
$614K |
| D7240 |
Removal of impacted tooth - completely bony |
1,484 |
524 |
$369K |
| D0140 |
Limited oral evaluation - problem focused |
3,220 |
3,041 |
$104K |
| D9243 |
|
1,448 |
706 |
$85K |
| D9239 |
|
778 |
699 |
$43K |
| D0330 |
Panoramic radiographic image |
712 |
685 |
$36K |
| D7230 |
|
18 |
14 |
$5K |
| D7310 |
|
25 |
12 |
$5K |
| D0220 |
Intraoral - periapical first radiographic image |
33 |
24 |
$119.25 |