THIEDE, CRAIG
NPI: 1528127024
· TUSTIN, CA 92780
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/08/2006
$1.51M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
501 |
$43K |
| 2021 |
2,987 |
$309K |
| 2022 |
5,083 |
$561K |
| 2023 |
4,777 |
$526K |
| 2024 |
695 |
$74K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,361 |
589 |
$307K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,584 |
1,135 |
$304K |
| D9222 |
|
1,737 |
1,727 |
$209K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,740 |
1,728 |
$209K |
| D7230 |
|
1,123 |
571 |
$207K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,779 |
2,765 |
$181K |
| D0330 |
Panoramic radiographic image |
2,443 |
2,431 |
$72K |
| D7140 |
Extraction, erupted tooth or exposed root |
207 |
88 |
$11K |
| D7220 |
|
54 |
38 |
$7K |
| D7241 |
|
15 |
12 |
$5K |