SUMMIT ORAL SURGERY LLC
NPI: 1174709927
· WASILLA, AK 99654
· 1223S0112X
$1.76M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
818 |
$151K |
| 2019 |
2,812 |
$547K |
| 2020 |
1,877 |
$340K |
| 2021 |
1,655 |
$251K |
| 2022 |
1,742 |
$212K |
| 2023 |
1,046 |
$151K |
| 2024 |
871 |
$108K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9243 |
|
1,295 |
1,116 |
$599K |
| D7210 |
|
1,838 |
712 |
$401K |
| D9239 |
|
1,293 |
1,189 |
$188K |
| D0140 |
|
2,757 |
2,668 |
$165K |
| D0330 |
|
1,395 |
1,232 |
$103K |
| D7240 |
|
256 |
90 |
$93K |
| D9610 |
|
1,177 |
1,117 |
$86K |
| D7140 |
|
665 |
52 |
$84K |
| D7230 |
|
145 |
62 |
$41K |