RIO RANCHO ORAL AND MAXILLOFACIAL SURGERY PC
NPI: 1245533439
· RIO RANCHO, NM 87124
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 12/10/2010
$510K
Total Medicaid Paid
Provider Details
| Authorized Official | ROGEL, LAURENCE (PRESIDENT) |
| NPI Enumeration Date | 12/10/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,799 |
$240K |
| 2019 |
2,677 |
$240K |
| 2020 |
340 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,417 |
459 |
$265K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,799 |
597 |
$104K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
415 |
182 |
$47K |
| D9222 |
|
631 |
588 |
$35K |
| D0140 |
Limited oral evaluation - problem focused |
847 |
815 |
$24K |
| D0367 |
|
76 |
74 |
$19K |
| D9610 |
|
576 |
545 |
$14K |
| D0330 |
Panoramic radiographic image |
55 |
55 |
$3K |