DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI: 1356772677
· PARKERSBURG, WV 26105
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/12/2013
$582K
Total Medicaid Paid
Provider Details
| Authorized Official | COYNER, LESLEY (CREDENTIALING) |
| NPI Enumeration Date | 12/12/2013 |
Related Entities
Other providers sharing the same authorized official: COYNER, LESLEY
| Provider | City | State | Total Paid |
|---|
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
HUNTINGTON |
WV |
$2.15M |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$974K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$789K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
HURRICANE |
WV |
$534K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$467K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$179K |
| INDIAN LAND ORAL & FACIAL SURGERY LLC |
FORT MILL |
SC |
$20K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$18K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PRINCETON |
WV |
$18K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
774 |
$79K |
| 2019 |
1,028 |
$97K |
| 2020 |
1,609 |
$185K |
| 2021 |
598 |
$31K |
| 2022 |
380 |
$34K |
| 2023 |
184 |
$13K |
| 2024 |
1,218 |
$143K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,192 |
612 |
$384K |
| D9222 |
|
797 |
747 |
$96K |
| D0140 |
Limited oral evaluation - problem focused |
1,417 |
1,322 |
$60K |
| D7240 |
Removal of impacted tooth - completely bony |
72 |
24 |
$19K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
108 |
89 |
$12K |
| D0330 |
Panoramic radiographic image |
185 |
180 |
$10K |
| D9610 |
|
20 |
16 |
$2K |