PORT ROYAL ORAL SURGERY PA
NPI: 1437365996
· BEAUFORT, SC 29902
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/14/2007
$131K
Total Medicaid Paid
Provider Details
| Authorized Official | HANE, SIMONS (CHAIRMAN) |
| NPI Enumeration Date | 05/14/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
194 |
$14K |
| 2019 |
390 |
$50K |
| 2020 |
210 |
$22K |
| 2021 |
273 |
$17K |
| 2022 |
280 |
$22K |
| 2023 |
150 |
$6K |
| 2024 |
27 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
156 |
53 |
$43K |
| D9222 |
|
325 |
325 |
$29K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
324 |
324 |
$29K |
| D0140 |
Limited oral evaluation - problem focused |
699 |
699 |
$27K |
| D7230 |
|
20 |
12 |
$5K |