ORAL AND FACIAL SURGEONS OF MICHIGAN, PC
NPI: 1275640369
· HARTLAND, MI 48353
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/24/2006
$610K
Total Medicaid Paid
5,108
Beneficiary Records
Provider Details
| Authorized Official | DAVIS, EVELYN (BILLING DEPT./ACCOUNTS) |
| NPI Enumeration Date | 08/24/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
130 |
$10K |
| 2019 |
211 |
$16K |
| 2020 |
418 |
$20K |
| 2021 |
1,390 |
$110K |
| 2022 |
904 |
$80K |
| 2023 |
1,556 |
$175K |
| 2024 |
1,852 |
$199K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
925 |
329 |
$206K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,349 |
788 |
$138K |
| D9222 |
|
811 |
805 |
$84K |
| D9310 |
|
1,030 |
1,028 |
$74K |
| D0140 |
Limited oral evaluation - problem focused |
743 |
743 |
$47K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
221 |
80 |
$41K |
| D7230 |
|
75 |
33 |
$16K |
| D0330 |
Panoramic radiographic image |
115 |
114 |
$5K |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
77 |
77 |
$662.01 |
| 99000 |
|
12 |
12 |
$52.28 |
| D9995 |
|
1,103 |
1,099 |
$0.00 |