RENAISSANCE ORAL SURGERY PC
NPI: 1235325499
· ROSEVILLE, MI 48066
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 09/21/2007
$478K
Total Medicaid Paid
Provider Details
| Authorized Official | BRYAN, HENRY (PRESIDENT) |
| NPI Enumeration Date | 09/21/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
58 |
$3K |
| 2019 |
159 |
$18K |
| 2023 |
320 |
$43K |
| 2024 |
2,250 |
$413K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
752 |
184 |
$180K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
769 |
265 |
$106K |
| D7230 |
|
240 |
130 |
$84K |
| D9222 |
|
271 |
265 |
$47K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
422 |
419 |
$31K |
| D0330 |
Panoramic radiographic image |
250 |
243 |
$25K |
| D0140 |
Limited oral evaluation - problem focused |
83 |
82 |
$5K |