LAS COLINAS ORAL & FACIAL SURGERY
NPI: 1215161484
· IRVING, TX 75063
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/04/2009
$677K
Total Medicaid Paid
Provider Details
| Authorized Official | PAYNE, KELLY (OFFICE MANAGER) |
| NPI Enumeration Date | 05/04/2009 |
Related Entities
Other providers sharing the same authorized official: PAYNE, KELLY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
358 |
$27K |
| 2021 |
2,258 |
$206K |
| 2022 |
2,336 |
$237K |
| 2023 |
1,241 |
$103K |
| 2024 |
1,166 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,686 |
574 |
$463K |
| D0330 |
Panoramic radiographic image |
1,210 |
1,184 |
$73K |
| D9243 |
|
1,424 |
737 |
$50K |
| D9239 |
|
741 |
735 |
$41K |
| D9612 |
|
750 |
745 |
$26K |
| D0140 |
Limited oral evaluation - problem focused |
800 |
790 |
$15K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
277 |
270 |
$8K |
| D1330 |
|
204 |
204 |
$2K |
| D0602 |
|
267 |
265 |
$0.00 |