PLATEAU ORAL AND FACIAL SURGERY
NPI: 1396121000
· COOKEVILLE, TN 38501
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/04/2015
$821K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
27 |
$580.00 |
| 2019 |
233 |
$14K |
| 2020 |
212 |
$21K |
| 2021 |
366 |
$26K |
| 2022 |
1,788 |
$161K |
| 2023 |
2,935 |
$259K |
| 2024 |
3,032 |
$340K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,437 |
441 |
$346K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,224 |
349 |
$150K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,695 |
983 |
$127K |
| D9222 |
|
1,128 |
1,047 |
$78K |
| D9310 |
|
729 |
688 |
$34K |
| D9612 |
|
953 |
883 |
$33K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,134 |
1,084 |
$31K |
| D7140 |
Extraction, erupted tooth or exposed root |
181 |
28 |
$11K |
| D7230 |
|
57 |
24 |
$10K |
| D0330 |
Panoramic radiographic image |
43 |
42 |
$1K |
| D9239 |
|
12 |
12 |
$0.00 |