RUPP, STUART
NPI: 1386164754
· LA CROSSE, WI 54601
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/26/2017
$181K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
34 |
$0.00 |
| 2024 |
2,826 |
$181K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,044 |
203 |
$93K |
| D7240 |
Removal of impacted tooth - completely bony |
185 |
70 |
$51K |
| D7230 |
|
108 |
51 |
$20K |
| D0330 |
Panoramic radiographic image |
204 |
202 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
462 |
460 |
$7K |
| D9222 |
|
237 |
235 |
$695.09 |
| D0150 |
Comprehensive oral evaluation - new or established patient |
51 |
51 |
$576.87 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
556 |
246 |
$0.00 |
| D9612 |
|
13 |
13 |
$0.00 |