NORTHEAST ARKANSAS OMFS, PLLC
NPI: 1427700111
· JONESBORO, AR 72401
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/24/2022
$1.30M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
3,352 |
$374K |
| 2023 |
2,740 |
$272K |
| 2024 |
5,719 |
$653K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,097 |
1,011 |
$776K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,820 |
1,286 |
$145K |
| D9222 |
|
1,583 |
1,511 |
$127K |
| D0140 |
Limited oral evaluation - problem focused |
2,265 |
2,208 |
$73K |
| D7140 |
Extraction, erupted tooth or exposed root |
854 |
249 |
$57K |
| D7230 |
|
195 |
119 |
$43K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
316 |
79 |
$37K |
| D0330 |
Panoramic radiographic image |
961 |
922 |
$33K |
| D9612 |
|
673 |
629 |
$7K |
| D0120 |
Periodic oral evaluation - established patient |
47 |
41 |
$1K |