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CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C
CHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C
NPI: 1306046651
· CHEYENNE, WY 82009
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 07/24/2007
$241K
Total Medicaid Paid
Provider Details
| Authorized Official | DOLAN, REX (OWNER) |
| NPI Enumeration Date | 07/24/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
219 |
$17K |
| 2019 |
133 |
$8K |
| 2020 |
339 |
$31K |
| 2021 |
206 |
$12K |
| 2022 |
397 |
$24K |
| 2023 |
736 |
$45K |
| 2024 |
1,087 |
$104K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
1,150 |
1,128 |
$58K |
| D7240 |
Removal of impacted tooth - completely bony |
196 |
75 |
$54K |
| D9222 |
|
490 |
481 |
$54K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
533 |
481 |
$39K |
| D0140 |
Limited oral evaluation - problem focused |
351 |
331 |
$16K |
| D7140 |
Extraction, erupted tooth or exposed root |
67 |
27 |
$9K |
| D0330 |
Panoramic radiographic image |
139 |
135 |
$6K |
| D9610 |
|
191 |
187 |
$5K |