CAROLINA OMS LLC
NPI: 1487345344
· FORT MILL, SC 29708
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 05/19/2023
$2.21M
Total Medicaid Paid
Provider Details
| Authorized Official | WEGNER, NICHOLAS (SURGEON/CO-OWNER) |
| NPI Enumeration Date | 05/19/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
6,176 |
$465K |
| 2024 |
19,101 |
$1.74M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,667 |
1,537 |
$682K |
| D7240 |
Removal of impacted tooth - completely bony |
3,018 |
1,016 |
$569K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,644 |
1,420 |
$313K |
| D7230 |
|
938 |
498 |
$142K |
| D9222 |
|
1,613 |
1,418 |
$115K |
| D0140 |
Limited oral evaluation - problem focused |
3,085 |
2,800 |
$99K |
| D9612 |
|
1,812 |
1,603 |
$96K |
| D9243 |
|
975 |
319 |
$70K |
| D7220 |
|
362 |
212 |
$41K |
| D0330 |
Panoramic radiographic image |
1,276 |
1,178 |
$24K |
| D9239 |
|
340 |
319 |
$23K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
332 |
306 |
$13K |
| D7310 |
|
99 |
41 |
$11K |
| D7311 |
|
100 |
57 |
$10K |
| D0383 |
|
16 |
16 |
$0.00 |