JOHN I GRAY III PSC
NPI: 1184772774
· MT STERLING, KY 40353
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/08/2007
$3.21M
Total Medicaid Paid
Provider Details
| Authorized Official | GRAY, JOHN (PRESIDENT) |
| NPI Enumeration Date | 01/08/2007 |
Related Entities
Other providers sharing the same authorized official: GRAY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,072 |
$872K |
| 2019 |
10,606 |
$718K |
| 2020 |
8,593 |
$569K |
| 2021 |
9,510 |
$638K |
| 2022 |
6,055 |
$409K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
12,531 |
3,330 |
$1.09M |
| D7140 |
Extraction, erupted tooth or exposed root |
10,860 |
2,406 |
$481K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
5,790 |
3,203 |
$466K |
| D7240 |
Removal of impacted tooth - completely bony |
2,297 |
865 |
$454K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
5,136 |
5,032 |
$249K |
| D9222 |
|
2,441 |
2,364 |
$189K |
| D0330 |
Panoramic radiographic image |
4,060 |
3,973 |
$154K |
| D7250 |
|
804 |
207 |
$75K |
| D7230 |
|
221 |
161 |
$37K |
| D7320 |
|
51 |
18 |
$10K |
| D9986 |
|
2,645 |
2,377 |
$0.00 |