Home ›
MS ›
JACKSON ›
CALOSS CENTER FOR FACIAL RECONSTRUCTION PLLC
CALOSS CENTER FOR FACIAL RECONSTRUCTION PLLC
NPI: 1538822499
· JACKSON, MS 39202
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 10/18/2021
$161K
Total Medicaid Paid
Provider Details
| Authorized Official | CALOSS, RONALD (OWNER) |
| NPI Enumeration Date | 10/18/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
24 |
$230.00 |
| 2023 |
440 |
$41K |
| 2024 |
1,264 |
$120K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
418 |
367 |
$38K |
| D9222 |
|
418 |
371 |
$38K |
| D7240 |
Removal of impacted tooth - completely bony |
151 |
68 |
$35K |
| D9310 |
|
338 |
317 |
$16K |
| D7220 |
|
100 |
47 |
$14K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
115 |
30 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
141 |
136 |
$6K |
| D0330 |
Panoramic radiographic image |
47 |
44 |
$3K |