POTTSTOWN ORAL & MAXILLOFACIAL SURGERY ASSOC. INC
NPI: 1285638817
· POTTSTOWN, PA 19464
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/10/2005
$375K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, PAUL (PRESIDENT) |
| NPI Enumeration Date | 06/10/2005 |
Related Entities
Other providers sharing the same authorized official: SMITH, PAUL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,291 |
$375K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
324 |
315 |
$125K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
406 |
398 |
$109K |
| D9222 |
|
403 |
397 |
$46K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
609 |
603 |
$39K |
| D0330 |
Panoramic radiographic image |
491 |
487 |
$29K |
| D7240 |
Removal of impacted tooth - completely bony |
42 |
38 |
$27K |
| D9999 |
Unspecified adjunctive procedure, by report |
16 |
16 |
$275.00 |