NORTH STAR ORAL & FACIAL SURGERY, LLC
NPI: 1316492960
· FAIRBANKS, AK 99701
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 08/23/2016
$116K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
291 |
$43K |
| 2019 |
101 |
$6K |
| 2020 |
163 |
$14K |
| 2021 |
250 |
$25K |
| 2022 |
294 |
$28K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
284 |
210 |
$46K |
| D9222 |
|
266 |
222 |
$29K |
| D0140 |
Limited oral evaluation - problem focused |
422 |
368 |
$20K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
79 |
25 |
$17K |
| D0330 |
Panoramic radiographic image |
32 |
29 |
$2K |
| D9310 |
|
16 |
15 |
$1K |