MODELEVSKY, STEPHEN
NPI: 1477647089
· JONESBORO, AR 72401
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 10/03/2006
$967K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,845 |
$410K |
| 2019 |
2,541 |
$439K |
| 2020 |
777 |
$117K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,954 |
879 |
$684K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,832 |
1,037 |
$139K |
| D9222 |
|
1,107 |
1,041 |
$93K |
| D7230 |
|
245 |
137 |
$49K |
| D0140 |
Limited oral evaluation - problem focused |
25 |
25 |
$780.80 |