SOUTH SOUND ORAL SURGERY PLLC
NPI: 1407944614
· OLYMPIA, WA 98506
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/11/2006
$986K
Total Medicaid Paid
Provider Details
| Authorized Official | CASWELL, LAURA (OFFICE MANAGER) |
| NPI Enumeration Date | 10/11/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,957 |
$258K |
| 2019 |
3,989 |
$332K |
| 2020 |
2,996 |
$227K |
| 2021 |
1,896 |
$169K |
| 2023 |
32 |
$747.04 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,233 |
1,013 |
$461K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,911 |
1,810 |
$255K |
| D9222 |
|
2,005 |
1,949 |
$147K |
| D0140 |
Limited oral evaluation - problem focused |
2,461 |
2,397 |
$47K |
| D9610 |
|
892 |
875 |
$31K |
| D0330 |
Panoramic radiographic image |
765 |
755 |
$31K |
| D7140 |
Extraction, erupted tooth or exposed root |
154 |
69 |
$8K |
| D1999 |
|
449 |
402 |
$6K |