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COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC
COMFORT DENTAL ORAL SURGERY COLORADO SPRINGS LLC
NPI: 1528553070
· MONUMENT, CO 80132
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/27/2018
$6.15M
Total Medicaid Paid
Provider Details
| Authorized Official | JOHNSON, TREVOR (MANAGING PARTNER) |
| NPI Enumeration Date | 06/27/2018 |
Related Entities
Other providers sharing the same authorized official: JOHNSON, TREVOR
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
30 |
$1K |
| 2019 |
4,500 |
$605K |
| 2020 |
8,634 |
$1.24M |
| 2021 |
9,080 |
$1.29M |
| 2022 |
8,927 |
$1.24M |
| 2023 |
7,920 |
$1.15M |
| 2024 |
4,272 |
$618K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
6,669 |
2,435 |
$1.82M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
9,668 |
4,040 |
$1.54M |
| D9243 |
|
4,581 |
4,480 |
$949K |
| D9239 |
|
4,570 |
4,493 |
$493K |
| D0330 |
Panoramic radiographic image |
7,415 |
7,396 |
$387K |
| D0160 |
|
5,077 |
5,074 |
$357K |
| D7230 |
|
1,044 |
605 |
$237K |
| D7261 |
|
395 |
379 |
$170K |
| D0140 |
Limited oral evaluation - problem focused |
2,844 |
2,824 |
$98K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,044 |
279 |
$93K |
| D7220 |
|
56 |
40 |
$10K |