DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI: 1447711858
· CHARLESTON, WV 25304
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/28/2019
$467K
Total Medicaid Paid
Provider Details
| Authorized Official | COYNER, LESLEY (CREDENTIALING) |
| NPI Enumeration Date | 03/28/2019 |
Related Entities
Other providers sharing the same authorized official: COYNER, LESLEY
| Provider | City | State | Total Paid |
|---|
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
HUNTINGTON |
WV |
$2.15M |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$974K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$789K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PARKERSBURG |
WV |
$582K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
HURRICANE |
WV |
$534K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$179K |
| INDIAN LAND ORAL & FACIAL SURGERY LLC |
FORT MILL |
SC |
$20K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$18K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PRINCETON |
WV |
$18K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
82 |
$10K |
| 2020 |
1,586 |
$184K |
| 2024 |
2,201 |
$273K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,929 |
352 |
$273K |
| D7240 |
Removal of impacted tooth - completely bony |
275 |
92 |
$70K |
| D9222 |
|
459 |
446 |
$60K |
| D7140 |
Extraction, erupted tooth or exposed root |
344 |
70 |
$29K |
| D0140 |
Limited oral evaluation - problem focused |
543 |
532 |
$21K |
| D0330 |
Panoramic radiographic image |
233 |
230 |
$12K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
86 |
84 |
$2K |