SOUTHWEST ORAL & MAXILLOFACIAL SURGERY
NPI: 1457527368
· ALBUQUERQUE, NM 87109
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/01/2008
$284K
Total Medicaid Paid
Provider Details
| Authorized Official | JONES, JERRY (OWNER) |
| NPI Enumeration Date | 05/01/2008 |
Related Entities
Other providers sharing the same authorized official: JONES, JERRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
952 |
$81K |
| 2019 |
1,320 |
$106K |
| 2020 |
997 |
$85K |
| 2021 |
169 |
$8K |
| 2022 |
65 |
$4K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
887 |
290 |
$159K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
772 |
646 |
$48K |
| D9222 |
|
622 |
619 |
$34K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
913 |
913 |
$30K |
| D7230 |
|
22 |
12 |
$4K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
25 |
13 |
$3K |
| D0330 |
Panoramic radiographic image |
64 |
64 |
$3K |
| 70350 |
|
74 |
73 |
$1K |
| 70355 |
|
68 |
68 |
$1K |
| D9610 |
|
44 |
44 |
$1K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$600.00 |