MIDDLE TENNESSEE ORAL & MAXILLOFACIAL SURGERY
NPI: 1497843270
· MURFREESBORO, TN 37129
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/10/2006
$543K
Total Medicaid Paid
Provider Details
| Authorized Official | HARDISON, MARK (PARTNER) |
| NPI Enumeration Date | 10/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
990 |
$75K |
| 2019 |
1,033 |
$72K |
| 2020 |
833 |
$66K |
| 2021 |
1,282 |
$102K |
| 2022 |
1,306 |
$110K |
| 2023 |
862 |
$39K |
| 2024 |
1,314 |
$78K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,053 |
356 |
$229K |
| D9243 |
|
1,497 |
1,454 |
$111K |
| D9239 |
|
1,476 |
1,440 |
$110K |
| D0140 |
Limited oral evaluation - problem focused |
3,225 |
3,150 |
$75K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
85 |
74 |
$7K |
| D9222 |
|
46 |
45 |
$4K |
| D7140 |
Extraction, erupted tooth or exposed root |
33 |
12 |
$2K |
| D9310 |
|
95 |
90 |
$2K |
| D0330 |
Panoramic radiographic image |
110 |
110 |
$2K |