KEVIN B. DORSEY DDS INC., A PROFESSIONAL CORPORATION
NPI: 1154820686
· HUNTINGTON PARK, CA 90255
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 02/10/2018
$252K
Total Medicaid Paid
Provider Details
| Authorized Official | DORSEY, KEVIN (OWNER) |
| NPI Enumeration Date | 02/10/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
906 |
$75K |
| 2023 |
1,176 |
$99K |
| 2024 |
1,053 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,090 |
1,087 |
$72K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
432 |
291 |
$67K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
330 |
146 |
$39K |
| D9222 |
|
290 |
290 |
$35K |
| D0330 |
Panoramic radiographic image |
931 |
931 |
$28K |
| D7230 |
|
62 |
27 |
$12K |