RIVER RIDGE ORAL & MAXILLOFACIAL SURGICAL CENTER
NPI: 1376522714
· SIOUX FALLS, SD 57103
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/13/2006
$754K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
62 |
$6K |
| 2019 |
248 |
$26K |
| 2020 |
344 |
$36K |
| 2021 |
729 |
$83K |
| 2022 |
584 |
$50K |
| 2023 |
1,594 |
$207K |
| 2024 |
1,715 |
$347K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
743 |
257 |
$242K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,021 |
371 |
$174K |
| D9222 |
|
1,218 |
1,193 |
$164K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
844 |
766 |
$106K |
| 70486 |
|
580 |
458 |
$51K |
| 96374 |
Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance |
845 |
678 |
$15K |
| D0140 |
Limited oral evaluation - problem focused |
25 |
25 |
$2K |