ORAL SURGERY CONSULTANTS OF PENNSYLVANIA PC
NPI: 1134250517
· PHILADELPHIA, PA 19145
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/08/2007
$1.55M
Total Medicaid Paid
12,709
Beneficiary Records
Provider Details
| Authorized Official | REMENTER, MELISSA (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 03/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,949 |
$172K |
| 2020 |
466 |
$34K |
| 2021 |
1,299 |
$98K |
| 2023 |
1,365 |
$100K |
| 2024 |
11,787 |
$1.15M |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,311 |
2,450 |
$759K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,255 |
1,567 |
$334K |
| D9222 |
|
1,568 |
1,437 |
$156K |
| D0330 |
Panoramic radiographic image |
3,442 |
3,256 |
$107K |
| D7240 |
Removal of impacted tooth - completely bony |
212 |
172 |
$73K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,387 |
3,199 |
$68K |
| D7230 |
|
192 |
171 |
$44K |
| D7140 |
Extraction, erupted tooth or exposed root |
73 |
37 |
$8K |
| D0120 |
Periodic oral evaluation - established patient |
426 |
420 |
$5K |