NORTHSIDE MINNESOTA ORAL AND MAXILLOFACIAL SURGEONS
NPI: 1336337526
· COON RAPIDS, MN 55433
· Dentist
· NPI assigned 10/12/2007
$3.92M
Total Medicaid Paid
Provider Details
| Authorized Official | EL DEEB, MOHAMED (DOCTOR/PRESIDENT) |
| NPI Enumeration Date | 10/12/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,515 |
$18K |
| 2019 |
1,108 |
$64K |
| 2020 |
2,186 |
$368K |
| 2021 |
3,688 |
$687K |
| 2022 |
3,863 |
$936K |
| 2023 |
3,840 |
$880K |
| 2024 |
4,060 |
$965K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9243 |
|
4,232 |
1,516 |
$1.22M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,218 |
669 |
$653K |
| D9239 |
|
1,527 |
1,501 |
$573K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,852 |
2,129 |
$525K |
| D7240 |
Removal of impacted tooth - completely bony |
1,511 |
752 |
$399K |
| D9222 |
|
658 |
643 |
$227K |
| D0140 |
Limited oral evaluation - problem focused |
4,673 |
4,636 |
$141K |
| D0367 |
|
53 |
53 |
$82K |
| D7953 |
|
66 |
29 |
$47K |
| D7250 |
|
146 |
56 |
$23K |
| D7230 |
|
91 |
69 |
$14K |
| D0330 |
Panoramic radiographic image |
128 |
128 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
105 |
33 |
$95.78 |