ANDERSON ORAL AND MAXILLOFACIAL SURGERY, PA
NPI: 1326173428
· ANDERSON, SC 29621
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/22/2007
$675K
Total Medicaid Paid
Provider Details
| Authorized Official | SUMNER, LEWIS (PHYSICIAN/ OWNER) |
| NPI Enumeration Date | 02/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
900 |
$116K |
| 2019 |
349 |
$35K |
| 2020 |
522 |
$55K |
| 2021 |
649 |
$86K |
| 2022 |
1,014 |
$108K |
| 2023 |
838 |
$82K |
| 2024 |
1,730 |
$194K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,727 |
859 |
$236K |
| D7240 |
Removal of impacted tooth - completely bony |
828 |
285 |
$224K |
| D9222 |
|
685 |
685 |
$67K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
685 |
685 |
$62K |
| D0140 |
Limited oral evaluation - problem focused |
1,476 |
1,476 |
$56K |
| D0330 |
Panoramic radiographic image |
601 |
601 |
$30K |