MICHIGAN ORAL AND MAXILLOFACIAL SURGEONS, P.C.
NPI: 1528008042
· ANN ARBOR, MI 48104
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/07/2006
$2.06M
Total Medicaid Paid
Provider Details
| Authorized Official | SEMINARA, SARAH (CREDENTIALING SPECIALIST) |
| NPI Enumeration Date | 06/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,339 |
$264K |
| 2019 |
2,902 |
$351K |
| 2020 |
3,142 |
$291K |
| 2021 |
4,455 |
$454K |
| 2022 |
2,811 |
$315K |
| 2023 |
1,480 |
$133K |
| 2024 |
2,179 |
$255K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,545 |
1,054 |
$543K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,816 |
1,388 |
$441K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,840 |
2,238 |
$275K |
| D0140 |
Limited oral evaluation - problem focused |
4,167 |
4,153 |
$239K |
| D9222 |
|
2,376 |
2,356 |
$231K |
| D7230 |
|
947 |
545 |
$188K |
| D7140 |
Extraction, erupted tooth or exposed root |
835 |
317 |
$74K |
| D0330 |
Panoramic radiographic image |
1,493 |
1,487 |
$60K |
| D9310 |
|
138 |
138 |
$11K |
| D9612 |
|
406 |
402 |
$2K |
| D1999 |
|
745 |
735 |
$0.00 |