SOUTHEASTERN ORAL & MAXILLOFACIAL SURGEONS PC
NPI: 1225115470
· BROCKTON, MA 02301
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/01/2006
$5.26M
Total Medicaid Paid
Provider Details
| Authorized Official | COYNE, JOHN (PRESIDENT) |
| NPI Enumeration Date | 11/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,201 |
$753K |
| 2019 |
7,178 |
$668K |
| 2020 |
5,766 |
$610K |
| 2021 |
8,026 |
$865K |
| 2022 |
8,476 |
$981K |
| 2023 |
6,391 |
$727K |
| 2024 |
5,993 |
$659K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
15,718 |
4,746 |
$2.13M |
| D7240 |
Removal of impacted tooth - completely bony |
2,699 |
988 |
$816K |
| D9243 |
|
6,983 |
3,795 |
$566K |
| D0330 |
Panoramic radiographic image |
7,019 |
6,620 |
$419K |
| D7230 |
|
1,787 |
965 |
$402K |
| D9239 |
|
3,519 |
3,379 |
$283K |
| D0140 |
Limited oral evaluation - problem focused |
7,398 |
6,966 |
$257K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,214 |
1,061 |
$220K |
| D9222 |
|
1,035 |
988 |
$101K |
| D7310 |
|
409 |
171 |
$52K |
| D7140 |
Extraction, erupted tooth or exposed root |
181 |
71 |
$14K |
| D7311 |
|
69 |
55 |
$6K |