LETKEWICZ, MICHAEL
NPI: 1366585119
· WATERLOO, IA 50702
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/14/2007
$1.70M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,023 |
$179K |
| 2019 |
3,691 |
$229K |
| 2020 |
4,264 |
$283K |
| 2021 |
4,064 |
$261K |
| 2022 |
3,370 |
$283K |
| 2023 |
3,290 |
$279K |
| 2024 |
2,313 |
$183K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
7,430 |
1,828 |
$740K |
| D7140 |
Extraction, erupted tooth or exposed root |
4,049 |
797 |
$204K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,209 |
882 |
$176K |
| D7311 |
|
2,438 |
1,083 |
$173K |
| D0140 |
Limited oral evaluation - problem focused |
3,724 |
3,718 |
$98K |
| D0330 |
Panoramic radiographic image |
2,480 |
2,476 |
$81K |
| D7240 |
Removal of impacted tooth - completely bony |
315 |
158 |
$68K |
| D9222 |
|
730 |
727 |
$61K |
| D7220 |
|
418 |
247 |
$56K |
| D7230 |
|
222 |
142 |
$40K |