NUTLEY ORAL SURGERY
NPI: 1457930398
· NUTLEY, NJ 07110
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 04/07/2021
$2.18M
Total Medicaid Paid
Provider Details
| Authorized Official | FITZER, CHERIE (OFFICE MANAGER) |
| NPI Enumeration Date | 04/07/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,868 |
$556K |
| 2022 |
5,444 |
$599K |
| 2023 |
6,893 |
$714K |
| 2024 |
3,149 |
$309K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,608 |
958 |
$834K |
| D7450 |
|
1,348 |
979 |
$434K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,147 |
984 |
$212K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,533 |
1,407 |
$197K |
| D0140 |
Limited oral evaluation - problem focused |
3,032 |
2,982 |
$160K |
| D0330 |
Panoramic radiographic image |
2,812 |
2,771 |
$128K |
| D7220 |
|
501 |
321 |
$79K |
| D9222 |
|
1,436 |
1,405 |
$70K |
| D7230 |
|
180 |
123 |
$42K |
| D0365 |
|
337 |
331 |
$8K |
| D9410 |
|
226 |
225 |
$7K |
| D7311 |
|
21 |
14 |
$3K |
| D0366 |
|
130 |
117 |
$2K |
| D0170 |
|
27 |
24 |
$1K |
| D0171 |
|
16 |
13 |
$225.00 |