VILLAGE POINTE ORAL SURGERY P.C.
NPI: 1306466081
· OMAHA, NE 68118
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/22/2020
$186K
Total Medicaid Paid
1,202
Beneficiary Records
Provider Details
| Authorized Official | TOOMBS, NICOLE (PRACTICE ADMINISTRATOR) |
| Parent Organization | VILLAGE POINTE ORAL SURGERY, P.C. |
| NPI Enumeration Date | 04/22/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,868 |
$186K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
238 |
80 |
$72K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
353 |
125 |
$36K |
| D7140 |
Extraction, erupted tooth or exposed root |
258 |
84 |
$25K |
| D9222 |
|
162 |
149 |
$21K |
| D0140 |
Limited oral evaluation - problem focused |
573 |
538 |
$19K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
71 |
31 |
$10K |
| D0330 |
Panoramic radiographic image |
52 |
47 |
$3K |
| D9612 |
|
161 |
148 |
$138.90 |