S.E. LOUISVILLE ORAL SURGERY, P.C.
NPI: 1376298695
· LOUISVILLE, KY 40299
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/15/2022
$873K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: SWOPE, JONATHAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,260 |
$138K |
| 2024 |
5,906 |
$735K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,289 |
709 |
$478K |
| D9243 |
|
1,227 |
586 |
$164K |
| D9239 |
|
605 |
596 |
$82K |
| D0140 |
Limited oral evaluation - problem focused |
1,215 |
1,183 |
$52K |
| D7240 |
Removal of impacted tooth - completely bony |
141 |
60 |
$41K |
| D0330 |
Panoramic radiographic image |
564 |
554 |
$40K |
| D7250 |
|
82 |
26 |
$12K |
| D7220 |
|
15 |
12 |
$3K |
| D9610 |
|
16 |
16 |
$676.48 |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
12 |
12 |
$468.00 |