CENTRO MAXILOFACIAL DEL NORTE CSP
NPI: 1184887796
· HATILLO, PR 00659
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 07/03/2008
$568K
Total Medicaid Paid
Provider Details
| Authorized Official | TALAVERA, CESAR (PRESIDENT) |
| NPI Enumeration Date | 07/03/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,711 |
$117K |
| 2019 |
1,224 |
$71K |
| 2020 |
371 |
$12K |
| 2021 |
1,502 |
$103K |
| 2022 |
2,015 |
$182K |
| 2023 |
250 |
$26K |
| 2024 |
461 |
$58K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,027 |
421 |
$166K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
620 |
611 |
$123K |
| D9222 |
|
621 |
612 |
$92K |
| D0160 |
|
2,027 |
1,832 |
$73K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
671 |
454 |
$49K |
| D0330 |
Panoramic radiographic image |
1,129 |
1,018 |
$32K |
| D1999 |
|
1,208 |
1,121 |
$18K |
| D7250 |
|
209 |
137 |
$12K |
| D7220 |
|
22 |
16 |
$3K |