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CENTER FOR ORAL SURGERY & DENTAL IMPLANTS OF ROSELLE LLC
CENTER FOR ORAL SURGERY & DENTAL IMPLANTS OF ROSELLE LLC
NPI: 1447657879
· ROSELLE, NJ 07203
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/01/2014
$5.32M
Total Medicaid Paid
Provider Details
| Authorized Official | LU, AMY (OFFICE MANAGER) |
| NPI Enumeration Date | 12/01/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,505 |
$312K |
| 2019 |
5,133 |
$577K |
| 2020 |
7,132 |
$961K |
| 2021 |
8,738 |
$1.18M |
| 2022 |
11,354 |
$1.04M |
| 2023 |
9,353 |
$871K |
| 2024 |
4,697 |
$381K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
5,408 |
2,035 |
$1.71M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
9,236 |
4,213 |
$889K |
| D7450 |
|
1,495 |
1,226 |
$556K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
9,133 |
3,882 |
$539K |
| D7230 |
|
1,706 |
1,112 |
$408K |
| D0140 |
Limited oral evaluation - problem focused |
7,950 |
7,856 |
$403K |
| D0330 |
Panoramic radiographic image |
6,746 |
6,676 |
$301K |
| D7311 |
|
1,522 |
1,130 |
$205K |
| D9222 |
|
3,919 |
3,871 |
$189K |
| D9410 |
|
1,025 |
1,024 |
$31K |
| D0170 |
|
623 |
569 |
$30K |
| D7250 |
|
287 |
133 |
$29K |
| D7220 |
|
83 |
56 |
$13K |
| D9612 |
|
559 |
557 |
$10K |
| D7280 |
|
24 |
13 |
$3K |
| D9243 |
|
33 |
33 |
$2K |
| D0171 |
|
100 |
91 |
$1K |
| D7282 |
|
23 |
13 |
$987.00 |
| D9239 |
|
27 |
27 |
$776.25 |
| D0366 |
|
13 |
13 |
$310.00 |