EASTERN OKLAHOMA ORAL AND MAXILLOFACIAL SURGEONS
NPI: 1487074704
· BROKEN ARROW, OK 74012
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/25/2014
$8.25M
Total Medicaid Paid
Provider Details
| Authorized Official | ROE, ANGIE (CREDENTIALING AND CONTRACTING) |
| NPI Enumeration Date | 04/25/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
9,078 |
$1.00M |
| 2019 |
10,150 |
$1.12M |
| 2020 |
8,734 |
$981K |
| 2021 |
12,834 |
$1.48M |
| 2022 |
14,552 |
$1.68M |
| 2023 |
12,256 |
$1.43M |
| 2024 |
4,810 |
$554K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
15,788 |
6,545 |
$3.14M |
| D7230 |
|
10,902 |
5,032 |
$1.81M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
11,713 |
3,018 |
$1.34M |
| D9222 |
|
12,321 |
12,263 |
$900K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
11,796 |
11,734 |
$751K |
| D9610 |
|
9,395 |
9,348 |
$266K |
| D7220 |
|
172 |
79 |
$23K |
| D7140 |
Extraction, erupted tooth or exposed root |
222 |
52 |
$14K |
| D0140 |
Limited oral evaluation - problem focused |
105 |
105 |
$3K |