FACIAL COSMETIC & MAXILLOFACIAL SURGERY P.C.
NPI: 1417155276
· EAST LONGMEADOW, MA 01028
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/03/2007
$7.83M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
20,331 |
$2.47M |
| 2019 |
16,994 |
$2.06M |
| 2020 |
16,401 |
$2.00M |
| 2021 |
10,725 |
$1.29M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
17,028 |
4,615 |
$2.30M |
| D7240 |
Removal of impacted tooth - completely bony |
6,219 |
2,308 |
$2.07M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
10,474 |
6,315 |
$875K |
| D7230 |
|
2,922 |
1,628 |
$709K |
| D9222 |
|
7,040 |
6,933 |
$597K |
| D0330 |
Panoramic radiographic image |
8,026 |
7,897 |
$541K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
7,623 |
7,549 |
$323K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,721 |
796 |
$201K |
| D7220 |
|
513 |
299 |
$93K |
| D0140 |
Limited oral evaluation - problem focused |
1,489 |
1,472 |
$59K |
| D7311 |
|
289 |
183 |
$34K |
| 41800 |
|
44 |
44 |
$10K |
| D7310 |
|
33 |
13 |
$4K |
| D7250 |
|
30 |
12 |
$4K |