EAST LOUISVILLE ORAL SURGERY AND DENTAL IMPLANTS PLC
NPI: 1275292377
· LOUISVILLE, KY 40207
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 12/16/2021
$164K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: LIVESAY, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
433 |
$34K |
| 2021 |
111 |
$8K |
| 2023 |
283 |
$22K |
| 2024 |
853 |
$100K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
674 |
199 |
$82K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
329 |
196 |
$39K |
| D9222 |
|
211 |
201 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
283 |
280 |
$12K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
118 |
117 |
$5K |
| D9610 |
|
51 |
45 |
$2K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$429.00 |