VITKUS, SCUTARI & CARDOSO ORAL SURGERY PC
NPI: 1275618019
· FAYETTEVILLE, NY 13066
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/26/2006
$1.11M
Total Medicaid Paid
Provider Details
| Authorized Official | SCUTARI, PASQUALE (ORAL MAXILLOFACIAL SURGEON) |
| NPI Enumeration Date | 10/26/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
146 |
$45K |
| 2022 |
571 |
$150K |
| 2023 |
1,416 |
$411K |
| 2024 |
1,718 |
$505K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,189 |
633 |
$785K |
| D9222 |
|
496 |
496 |
$127K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
335 |
335 |
$123K |
| D9310 |
|
366 |
366 |
$36K |
| D0160 |
|
247 |
246 |
$24K |
| D0330 |
Panoramic radiographic image |
102 |
102 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
46 |
46 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
70 |
70 |
$3K |