PEORIA ORAL & IMPLANT SURGERY PLLC
NPI: 1497265516
· PEORIA, AZ 85383
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 10/03/2017
$1.06M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,227 |
$115K |
| 2019 |
2,002 |
$223K |
| 2020 |
3,290 |
$456K |
| 2021 |
1,956 |
$261K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,446 |
535 |
$383K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
890 |
810 |
$198K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,066 |
519 |
$163K |
| D9222 |
|
856 |
786 |
$84K |
| D0330 |
Panoramic radiographic image |
1,465 |
1,442 |
$72K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,574 |
1,547 |
$58K |
| D7230 |
|
191 |
130 |
$43K |
| D9219 |
|
854 |
832 |
$33K |
| D7220 |
|
120 |
70 |
$22K |
| D9310 |
|
13 |
12 |
$483.60 |