MID MICHIGAN ORAL SURGERY PC
NPI: 1174516413
· EAST LANSING, MI 48823
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/23/2005
$675K
Total Medicaid Paid
Provider Details
| Authorized Official | BENIVEGNA, VINCENT (DOCTOR OWNER VICE PRESIDENT) |
| NPI Enumeration Date | 08/23/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
436 |
$43K |
| 2019 |
620 |
$57K |
| 2020 |
746 |
$54K |
| 2021 |
989 |
$57K |
| 2022 |
1,174 |
$95K |
| 2023 |
1,871 |
$168K |
| 2024 |
1,903 |
$200K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
859 |
304 |
$184K |
| D9310 |
|
1,954 |
1,942 |
$129K |
| D9243 |
|
1,372 |
1,219 |
$115K |
| D9239 |
|
1,290 |
1,239 |
$111K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
540 |
229 |
$101K |
| D0330 |
Panoramic radiographic image |
680 |
675 |
$25K |
| D7140 |
Extraction, erupted tooth or exposed root |
87 |
49 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
66 |
66 |
$4K |
| D9630 |
|
891 |
843 |
$40.00 |