LAKE MICHIGAN ORAL & MAXILLOFACIAL SURGERY PLLC
NPI: 1245544824
· SAINT JOSEPH, MI 49085
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/05/2010
Provider Details
| Authorized Official | KEOUGH, LISA (CREDENTIALING REP) |
| NPI Enumeration Date | 08/05/2010 |
Related Entities
Other providers sharing the same authorized official: KEOUGH, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
39 |
$4K |
| 2020 |
142 |
$7K |
| 2021 |
230 |
$11K |
| 2022 |
51 |
$2K |
| 2023 |
89 |
$4K |
| 2024 |
174 |
$11K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9243 |
|
161 |
76 |
$17K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
209 |
209 |
$13K |
| D9239 |
|
77 |
76 |
$8K |
| D0330 |
Panoramic radiographic image |
30 |
30 |
$1K |
| D9215 |
|
112 |
111 |
$0.00 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
62 |
61 |
$0.00 |
| D1999 |
|
24 |
24 |
$0.00 |
| D9610 |
|
50 |
49 |
$0.00 |