SALEM PEABODY ORAL SURGERY INC.
NPI: 1437198819
· PEABODY, MA 01960
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/04/2006
$2.30M
Total Medicaid Paid
Provider Details
| Authorized Official | BLAESER, JEFF (PRACTICE ADMIN) |
| NPI Enumeration Date | 06/04/2006 |
Related Entities
Other providers sharing the same authorized official: BLAESER, JEFF
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,983 |
$508K |
| 2019 |
7,020 |
$571K |
| 2020 |
6,323 |
$524K |
| 2021 |
3,354 |
$327K |
| 2022 |
1,350 |
$124K |
| 2023 |
1,510 |
$187K |
| 2024 |
715 |
$63K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
5,709 |
3,211 |
$503K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,319 |
1,177 |
$436K |
| D7140 |
Extraction, erupted tooth or exposed root |
5,419 |
1,822 |
$399K |
| D9222 |
|
3,995 |
3,891 |
$346K |
| D7230 |
|
699 |
331 |
$168K |
| D0140 |
Limited oral evaluation - problem focused |
4,177 |
4,071 |
$164K |
| D0330 |
Panoramic radiographic image |
2,387 |
2,321 |
$161K |
| D7240 |
Removal of impacted tooth - completely bony |
358 |
150 |
$121K |
| D9612 |
|
153 |
81 |
$5K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
39 |
38 |
$546.00 |