ORAL SURGERY OF INDIANA, LLC
NPI: 1376181347
· MUNCIE, IN 47304
· Dental Clinic/Center
· NPI assigned 12/20/2019
$4.46M
Total Medicaid Paid
Provider Details
| Authorized Official | LEONARD, TAMONIA (CREDENTAILING SPECIALIST) |
| NPI Enumeration Date | 12/20/2019 |
Related Entities
Other providers sharing the same authorized official: LEONARD, TAMONIA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2020 |
4,339 |
$554K |
| 2021 |
7,285 |
$969K |
| 2022 |
7,337 |
$1.02M |
| 2023 |
7,713 |
$1.07M |
| 2024 |
5,673 |
$845K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
9,243 |
2,797 |
$1.65M |
| D7240 |
Removal of impacted tooth - completely bony |
4,208 |
1,468 |
$1.31M |
| D7140 |
Extraction, erupted tooth or exposed root |
6,276 |
2,521 |
$550K |
| D7230 |
|
1,479 |
847 |
$374K |
| D0330 |
Panoramic radiographic image |
3,390 |
3,244 |
$181K |
| D0140 |
Limited oral evaluation - problem focused |
3,212 |
3,083 |
$127K |
| D7310 |
|
661 |
245 |
$119K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
3,566 |
3,436 |
$82K |
| D7220 |
|
239 |
157 |
$48K |
| D7250 |
|
73 |
31 |
$16K |