RICHARD J SORBERA DDS SHILBY D MALOUF DDS INC
NPI: 1164597217
· SOMERVILLE, MA 01245
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/22/2006
$209K
Total Medicaid Paid
Provider Details
| Authorized Official | MALOUF, SHILBY (VICE PRESIDENT) |
| NPI Enumeration Date | 11/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,568 |
$121K |
| 2019 |
1,127 |
$88K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
533 |
162 |
$45K |
| D7230 |
|
142 |
55 |
$37K |
| D0330 |
Panoramic radiographic image |
476 |
470 |
$32K |
| D7140 |
Extraction, erupted tooth or exposed root |
425 |
162 |
$30K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
162 |
85 |
$22K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
466 |
462 |
$20K |
| D7240 |
Removal of impacted tooth - completely bony |
40 |
12 |
$14K |
| D0120 |
Periodic oral evaluation - established patient |
451 |
423 |
$10K |