ORAL & MAXILLOFACIAL SURGERY CENTERS, INC
NPI: 1205008869
· WASHINGTON COURT HOUSE, OH 43160
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/24/2008
$125K
Total Medicaid Paid
Provider Details
| Authorized Official | DOYLE, TAMI (ACCOUNTS RECEIVABLE COORDINATOR) |
| NPI Enumeration Date | 03/24/2008 |
Related Entities
Other providers sharing the same authorized official: DOYLE, TAMI
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
117 |
$5K |
| 2019 |
147 |
$5K |
| 2020 |
1,736 |
$84K |
| 2021 |
591 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
864 |
147 |
$41K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
346 |
131 |
$20K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
306 |
113 |
$16K |
| D9222 |
|
145 |
130 |
$16K |
| D0330 |
Panoramic radiographic image |
325 |
294 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
413 |
365 |
$10K |
| D9612 |
|
150 |
133 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
42 |
41 |
$937.91 |