ADVANCED ORAL & MAXILLOFACIAL SURGERY CENTER
NPI: 1326321282
· COLORADO SPRINGS, CO 80923
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/27/2011
$123K
Total Medicaid Paid
Provider Details
| Authorized Official | QUIST, RHETT (OWNER) |
| NPI Enumeration Date | 09/27/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,141 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7230 |
|
190 |
97 |
$40K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
169 |
89 |
$24K |
| D9243 |
|
142 |
140 |
$15K |
| D9239 |
|
150 |
148 |
$14K |
| D7240 |
Removal of impacted tooth - completely bony |
51 |
24 |
$13K |
| D0330 |
Panoramic radiographic image |
192 |
192 |
$10K |
| D0140 |
Limited oral evaluation - problem focused |
247 |
247 |
$8K |