OMSA DELRAY BEACH PA
NPI: 1235464751
· DELRAY BEACH, FL 33483
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 10/16/2009
$740K
Total Medicaid Paid
Provider Details
| Authorized Official | PEREZ-GARCIA, RAMON (PRESIDENT) |
| NPI Enumeration Date | 10/16/2009 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,436 |
$218K |
| 2021 |
291 |
$28K |
| 2022 |
3,730 |
$492K |
| 2023 |
36 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
658 |
639 |
$281K |
| D9222 |
|
651 |
638 |
$183K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,434 |
566 |
$70K |
| D7230 |
|
413 |
195 |
$49K |
| D7240 |
Removal of impacted tooth - completely bony |
167 |
87 |
$45K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
468 |
463 |
$45K |
| D0330 |
Panoramic radiographic image |
1,037 |
1,021 |
$37K |
| D0140 |
Limited oral evaluation - problem focused |
665 |
654 |
$31K |