BREAKWATER ORAL AND MAXILLOFACIAL SURGERY PLLC
NPI: 1487375218
· NORTON SHORES, MI 49444
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/09/2022
$353K
Total Medicaid Paid
Provider Details
| Authorized Official | FAIRFIELD, ALEXIS (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 09/09/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
1,938 |
$252K |
| 2024 |
791 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
749 |
246 |
$189K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
928 |
333 |
$98K |
| D9222 |
|
334 |
334 |
$35K |
| D9310 |
|
397 |
397 |
$27K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
22 |
14 |
$3K |
| D9610 |
|
285 |
285 |
$0.00 |
| D9612 |
|
14 |
14 |
$0.00 |