OAHU ORAL AND MAXILLOFACIAL SURGERY
NPI: 1164948642
· KANEOHE, HI 96744
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 08/16/2017
$3.70M
Total Medicaid Paid
Provider Details
| Authorized Official | HANNON, JEREMY (OWNER/PROPRIETOR) |
| NPI Enumeration Date | 08/16/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,543 |
$407K |
| 2019 |
3,121 |
$491K |
| 2020 |
3,188 |
$425K |
| 2021 |
3,970 |
$515K |
| 2022 |
4,421 |
$506K |
| 2023 |
5,544 |
$713K |
| 2024 |
4,986 |
$644K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
4,350 |
1,918 |
$1.49M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
8,797 |
4,190 |
$1.36M |
| D7230 |
|
1,193 |
742 |
$300K |
| D0330 |
Panoramic radiographic image |
5,423 |
5,412 |
$271K |
| D0140 |
Limited oral evaluation - problem focused |
7,424 |
7,392 |
$235K |
| D9243 |
|
295 |
147 |
$30K |
| D9239 |
|
121 |
121 |
$12K |
| D7250 |
|
32 |
15 |
$7K |
| D7140 |
Extraction, erupted tooth or exposed root |
126 |
39 |
$4K |
| D0366 |
|
12 |
12 |
$2K |