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DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI: 1235546813
· BECKLEY, WV 25801
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/16/2014
$789K
Total Medicaid Paid
Provider Details
| Authorized Official | COYNER, LESLEY (CREDENTIALING) |
| NPI Enumeration Date | 07/16/2014 |
Related Entities
Other providers sharing the same authorized official: COYNER, LESLEY
| Provider | City | State | Total Paid |
|---|
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
HUNTINGTON |
WV |
$2.15M |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$974K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PARKERSBURG |
WV |
$582K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
HURRICANE |
WV |
$534K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$467K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$179K |
| INDIAN LAND ORAL & FACIAL SURGERY LLC |
FORT MILL |
SC |
$20K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$18K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PRINCETON |
WV |
$18K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,837 |
$180K |
| 2019 |
2,875 |
$296K |
| 2020 |
1,762 |
$189K |
| 2021 |
361 |
$24K |
| 2022 |
382 |
$30K |
| 2023 |
13 |
$289.98 |
| 2024 |
675 |
$70K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,413 |
717 |
$434K |
| D9222 |
|
834 |
803 |
$121K |
| D0140 |
Limited oral evaluation - problem focused |
2,110 |
2,018 |
$90K |
| D7240 |
Removal of impacted tooth - completely bony |
295 |
95 |
$73K |
| D0330 |
Panoramic radiographic image |
864 |
822 |
$44K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
389 |
376 |
$28K |