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WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
WEST MICHIGAN ORAL AND MAXILLOFACIAL SURGERY PC
NPI: 1326197880
· HOLLAND, MI 49423
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/10/2007
$663K
Total Medicaid Paid
Provider Details
| Authorized Official | LINDHOUT, JEFFREY (SECRETARY TREASURER) |
| NPI Enumeration Date | 01/10/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
989 |
$123K |
| 2019 |
1,230 |
$155K |
| 2020 |
1,150 |
$115K |
| 2021 |
1,912 |
$195K |
| 2022 |
671 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,890 |
729 |
$350K |
| D0140 |
Limited oral evaluation - problem focused |
1,563 |
1,560 |
$89K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
600 |
450 |
$56K |
| D9222 |
|
480 |
475 |
$44K |
| D9243 |
|
495 |
330 |
$41K |
| D7230 |
|
244 |
116 |
$36K |
| D9239 |
|
307 |
305 |
$26K |
| D0330 |
Panoramic radiographic image |
326 |
326 |
$17K |
| D7140 |
Extraction, erupted tooth or exposed root |
47 |
15 |
$4K |