ORAL SURGERY GROUP OF EVANSVILLE, INC
NPI: 1467506188
· EVANSVILLE, IN 47710
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/22/2007
$1.40M
Total Medicaid Paid
Provider Details
| Authorized Official | KELLAMS, KAREN (PRACTICE MANAGER) |
| NPI Enumeration Date | 01/22/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,346 |
$25K |
| 2019 |
2,111 |
$166K |
| 2020 |
2,108 |
$202K |
| 2021 |
3,000 |
$324K |
| 2022 |
3,325 |
$382K |
| 2023 |
2,905 |
$300K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,471 |
752 |
$609K |
| D7140 |
Extraction, erupted tooth or exposed root |
4,871 |
1,482 |
$311K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,651 |
816 |
$230K |
| D0140 |
Limited oral evaluation - problem focused |
3,384 |
3,075 |
$105K |
| D0330 |
Panoramic radiographic image |
837 |
786 |
$53K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
795 |
648 |
$42K |
| D9222 |
|
716 |
664 |
$36K |
| D7230 |
|
53 |
26 |
$12K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
17 |
15 |
$309.50 |