THE CENTER FOR ORAL & MAXILLOFACIAL SURGERY
NPI: 1417936782
· ROCK HILL, SC 29732
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/13/2006
$883K
Total Medicaid Paid
Provider Details
| Authorized Official | FALLS, KAY (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 01/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,674 |
$144K |
| 2019 |
1,852 |
$169K |
| 2020 |
1,437 |
$111K |
| 2021 |
2,659 |
$268K |
| 2022 |
1,593 |
$164K |
| 2023 |
129 |
$8K |
| 2024 |
99 |
$19K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,111 |
388 |
$308K |
| D9222 |
|
1,644 |
1,644 |
$150K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,618 |
1,616 |
$145K |
| D0140 |
Limited oral evaluation - problem focused |
3,176 |
3,176 |
$120K |
| D9310 |
|
1,139 |
1,137 |
$70K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
355 |
187 |
$47K |
| D7230 |
|
120 |
54 |
$29K |
| D0330 |
Panoramic radiographic image |
280 |
280 |
$14K |