DAKOTA VALLEY ORAL AND MAXILLOFACIAL SURGERY, PLLC
NPI: 1366568206
· SAINT PAUL, MN 55122
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/22/2007
$201K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
271 |
$2K |
| 2019 |
192 |
$15K |
| 2020 |
393 |
$29K |
| 2021 |
687 |
$96K |
| 2022 |
416 |
$56K |
| 2023 |
27 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0140 |
Limited oral evaluation - problem focused |
1,163 |
1,140 |
$73K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
238 |
148 |
$60K |
| D7140 |
Extraction, erupted tooth or exposed root |
363 |
142 |
$56K |
| D9222 |
|
38 |
36 |
$6K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
39 |
36 |
$5K |
| D1999 |
|
145 |
141 |
$10.04 |