ELYASSI'S GREENBELT ORAL AND FACIAL SURGERY
NPI: 1316310634
· GREENBELT, MD 20770
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 11/09/2015
$321K
Total Medicaid Paid
Provider Details
| Authorized Official | ELYASSI, ALI (OWNER) |
| NPI Enumeration Date | 11/09/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,019 |
$152K |
| 2019 |
796 |
$132K |
| 2020 |
325 |
$36K |
| 2021 |
31 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
702 |
211 |
$194K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
327 |
325 |
$65K |
| D9310 |
|
538 |
530 |
$25K |
| D9222 |
|
330 |
328 |
$23K |
| D0330 |
Panoramic radiographic image |
210 |
206 |
$9K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
38 |
13 |
$4K |
| D0140 |
Limited oral evaluation - problem focused |
26 |
24 |
$1K |