UNIVERSITY OF THE PACIFIC
NPI: 1508294927
· SAN FRANCISCO, CA 94103
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 10/22/2013
$1.99M
Total Medicaid Paid
Provider Details
| Authorized Official | PEGUEROS, ED (ASSOC DEAN, BUDGET & FIN ADMIN, AO) |
| Parent Organization | UNIVERSITY OF THE PACIFIC |
| NPI Enumeration Date | 10/22/2013 |
Related Entities
Other providers sharing the same authorized official: PEGUEROS, ED
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,565 |
$493K |
| 2019 |
5,912 |
$391K |
| 2020 |
2,546 |
$179K |
| 2021 |
3,601 |
$269K |
| 2022 |
3,642 |
$251K |
| 2023 |
3,450 |
$238K |
| 2024 |
2,269 |
$165K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
21,071 |
8,907 |
$1.19M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,554 |
3,100 |
$530K |
| D7230 |
|
647 |
405 |
$121K |
| D7240 |
Removal of impacted tooth - completely bony |
414 |
210 |
$93K |
| D9241 |
|
346 |
345 |
$20K |
| D9242 |
|
389 |
301 |
$16K |
| D7220 |
|
43 |
26 |
$6K |
| D0220 |
Intraoral - periapical first radiographic image |
495 |
494 |
$6K |
| D9430 |
|
14 |
14 |
$440.00 |
| D0330 |
Panoramic radiographic image |
12 |
12 |
$300.00 |