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SOUTHEASTERN ORAL-MAXILLOFACIAL AND COSMETIC SURGERY CENTER
SOUTHEASTERN ORAL-MAXILLOFACIAL AND COSMETIC SURGERY CENTER
NPI: 1275755860
· DOTHAN, AL 36303
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/03/2007
$996K
Total Medicaid Paid
Provider Details
| Authorized Official | BRADSHAW, KAREN (ADMINISTRATOR) |
| NPI Enumeration Date | 05/03/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,297 |
$91K |
| 2019 |
2,013 |
$167K |
| 2020 |
1,367 |
$105K |
| 2021 |
1,935 |
$151K |
| 2022 |
1,445 |
$112K |
| 2023 |
2,313 |
$226K |
| 2024 |
1,717 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9222 |
|
4,116 |
3,782 |
$474K |
| D7230 |
|
1,663 |
468 |
$260K |
| D0140 |
Limited oral evaluation - problem focused |
4,621 |
4,151 |
$118K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,003 |
870 |
$94K |
| D7240 |
Removal of impacted tooth - completely bony |
174 |
66 |
$37K |
| D0330 |
Panoramic radiographic image |
438 |
402 |
$8K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
31 |
12 |
$2K |
| D7140 |
Extraction, erupted tooth or exposed root |
41 |
12 |
$2K |