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DESERT SOUTHWEST ORAL AND FACIAL SURGERY
DESERT SOUTHWEST ORAL AND FACIAL SURGERY
NPI: 1376299131
· CORTEZ, CO 81321
· Dental Clinic/Center
· NPI assigned 03/01/2022
$852K
Total Medicaid Paid
Provider Details
| Authorized Official | SIKES, JUSTIN (OWNER) |
| NPI Enumeration Date | 03/01/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
45 |
$2K |
| 2023 |
3,133 |
$380K |
| 2024 |
3,881 |
$470K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,392 |
505 |
$343K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,751 |
512 |
$157K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
790 |
296 |
$110K |
| D9243 |
|
769 |
622 |
$96K |
| D9239 |
|
634 |
620 |
$68K |
| D9310 |
|
884 |
873 |
$35K |
| D0330 |
Panoramic radiographic image |
353 |
348 |
$17K |
| D7220 |
|
80 |
56 |
$13K |
| D0140 |
Limited oral evaluation - problem focused |
391 |
377 |
$11K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
15 |
$480.00 |