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KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.
KALAMAZOO ORAL & MAXILLOFACIAL SURGERY, P.C.
NPI: 1265522262
· PORTAGE, MI 49024
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/13/2006
$565K
Total Medicaid Paid
Provider Details
| Authorized Official | SIMONELLI, NANCY (OFFICE MANAGER) |
| NPI Enumeration Date | 10/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
473 |
$40K |
| 2021 |
981 |
$76K |
| 2022 |
1,067 |
$77K |
| 2023 |
1,686 |
$162K |
| 2024 |
1,889 |
$210K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,188 |
431 |
$236K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,624 |
730 |
$108K |
| D9222 |
|
1,194 |
1,185 |
$102K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
771 |
667 |
$72K |
| D0330 |
Panoramic radiographic image |
642 |
637 |
$30K |
| D0140 |
Limited oral evaluation - problem focused |
134 |
134 |
$8K |
| D7230 |
|
28 |
14 |
$6K |
| D7220 |
|
28 |
14 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
487 |
484 |
$0.00 |