TERRE HAUTE ORAL & MAXILLOFACIAL SURGERY
NPI: 1487032538
· TERRE HAUTE, IN 47802
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/09/2015
$303K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, RUTH (OFFICE MANAGER) |
| NPI Enumeration Date | 05/09/2015 |
Related Entities
Other providers sharing the same authorized official: LEE, RUTH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,173 |
$14K |
| 2019 |
327 |
$21K |
| 2020 |
816 |
$69K |
| 2021 |
346 |
$22K |
| 2022 |
134 |
$10K |
| 2023 |
776 |
$97K |
| 2024 |
557 |
$70K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
815 |
276 |
$141K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,272 |
341 |
$75K |
| D0140 |
Limited oral evaluation - problem focused |
1,031 |
950 |
$33K |
| D0330 |
Panoramic radiographic image |
267 |
245 |
$16K |
| D7240 |
Removal of impacted tooth - completely bony |
186 |
53 |
$15K |
| D9243 |
|
299 |
198 |
$10K |
| D9239 |
|
232 |
205 |
$7K |
| D7230 |
|
27 |
14 |
$6K |