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MICHAEL J. GLIDDON DBA LIVE OAK ORAL SURGERY
MICHAEL J. GLIDDON DBA LIVE OAK ORAL SURGERY
NPI: 1265735724
· LAWTON, OK 73505
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/06/2010
$941K
Total Medicaid Paid
Provider Details
| Authorized Official | WELLNER, VERA ANN (CREDENTIALING REP) |
| NPI Enumeration Date | 12/06/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,811 |
$206K |
| 2019 |
1,380 |
$150K |
| 2020 |
1,506 |
$181K |
| 2021 |
2,233 |
$276K |
| 2022 |
1,121 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,083 |
869 |
$605K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,334 |
1,332 |
$150K |
| D9222 |
|
1,282 |
1,280 |
$92K |
| D9310 |
|
1,540 |
1,539 |
$69K |
| D9610 |
|
783 |
782 |
$23K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
29 |
12 |
$2K |