TAMPA BAY MAXILLOFACIAL SURGERY, PLLC
NPI: 1164932356
· ST PETERSBURG, FL 33704
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 10/03/2017
$286K
Total Medicaid Paid
Provider Details
| Authorized Official | YU, ROBERT (MANAGING MEMBER) |
| NPI Enumeration Date | 10/03/2017 |
Related Entities
Other providers sharing the same authorized official: YU, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
248 |
$29K |
| 2022 |
2,805 |
$257K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
687 |
316 |
$154K |
| D7240 |
Removal of impacted tooth - completely bony |
151 |
45 |
$35K |
| D7250 |
|
206 |
56 |
$24K |
| D0330 |
Panoramic radiographic image |
200 |
199 |
$22K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
738 |
239 |
$22K |
| D0140 |
Limited oral evaluation - problem focused |
546 |
539 |
$15K |
| D7230 |
|
102 |
43 |
$14K |
| D9222 |
|
423 |
316 |
$425.00 |