BEAUFORT ORAL AND FACIAL SURGERY, LLC
NPI: 1447769831
· BEAUFORT, SC 29902
· Periodontist
· NPI assigned 09/28/2017
$596K
Total Medicaid Paid
Provider Details
| Authorized Official | KLINE, PATRICK (OWNER) |
| NPI Enumeration Date | 09/28/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
730 |
$104K |
| 2020 |
1,062 |
$145K |
| 2021 |
1,307 |
$166K |
| 2022 |
1,518 |
$181K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
742 |
252 |
$204K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,022 |
532 |
$137K |
| 99205 |
Prolong outpt/office vis |
593 |
593 |
$81K |
| D9239 |
|
797 |
797 |
$59K |
| D9243 |
|
795 |
795 |
$59K |
| D0160 |
|
469 |
469 |
$41K |
| D0330 |
Panoramic radiographic image |
149 |
149 |
$7K |
| D7250 |
|
50 |
26 |
$7K |