MICHAEL J. CUSATIS DDS PLLC
NPI: 1518118454
· GAYLORD, MI 49735
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/09/2008
$318K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
110 |
$15K |
| 2019 |
95 |
$9K |
| 2020 |
103 |
$8K |
| 2021 |
498 |
$50K |
| 2022 |
483 |
$48K |
| 2023 |
573 |
$64K |
| 2024 |
957 |
$124K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
900 |
381 |
$109K |
| D9222 |
|
624 |
616 |
$67K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
247 |
105 |
$47K |
| D0140 |
Limited oral evaluation - problem focused |
651 |
651 |
$42K |
| D7140 |
Extraction, erupted tooth or exposed root |
304 |
65 |
$32K |
| D7240 |
Removal of impacted tooth - completely bony |
66 |
28 |
$21K |
| D0330 |
Panoramic radiographic image |
27 |
27 |
$1K |