JOHN R KASHMANIAN DMD INC
NPI: 1174583512
· SOUTHBRIDGE, MA 01550
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 03/27/2006
$400K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: KASHMANIAN, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
606 |
$41K |
| 2019 |
465 |
$26K |
| 2020 |
451 |
$27K |
| 2021 |
1,402 |
$111K |
| 2022 |
1,290 |
$105K |
| 2023 |
541 |
$34K |
| 2024 |
838 |
$55K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
2,520 |
996 |
$177K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
581 |
158 |
$81K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,378 |
1,359 |
$54K |
| D0330 |
Panoramic radiographic image |
627 |
614 |
$42K |
| D7240 |
Removal of impacted tooth - completely bony |
63 |
27 |
$20K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
227 |
75 |
$19K |
| D9222 |
|
76 |
75 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
95 |
95 |
$1K |
| D9610 |
|
26 |
26 |
$0.00 |