NOVA SURGICARE
NPI: 1184055501
· MC LEAN, VA 22102
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/11/2013
$139K
Total Medicaid Paid
Provider Details
| Authorized Official | HAMRAH, SANAZ (OFFICE MANAGER) |
| NPI Enumeration Date | 12/11/2013 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
13 |
$322.79 |
| 2019 |
64 |
$2K |
| 2020 |
130 |
$6K |
| 2021 |
142 |
$6K |
| 2022 |
859 |
$70K |
| 2023 |
1,454 |
$55K |
| 2024 |
863 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
429 |
146 |
$37K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
992 |
341 |
$35K |
| D0330 |
Panoramic radiographic image |
583 |
576 |
$20K |
| D0140 |
Limited oral evaluation - problem focused |
1,058 |
1,042 |
$19K |
| D9222 |
|
349 |
344 |
$12K |
| D7220 |
|
48 |
27 |
$10K |
| D7230 |
|
23 |
13 |
$6K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
43 |
12 |
$0.00 |