ORAL SURGERY OF NNY PLLC
NPI: 1548632896
· WATERTOWN, NY 13601
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 10/27/2015
$447K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
39 |
$9K |
| 2019 |
190 |
$11K |
| 2020 |
424 |
$51K |
| 2021 |
628 |
$113K |
| 2022 |
313 |
$76K |
| 2023 |
351 |
$65K |
| 2024 |
775 |
$121K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
861 |
548 |
$308K |
| D9310 |
|
584 |
584 |
$68K |
| D0330 |
Panoramic radiographic image |
467 |
467 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
648 |
648 |
$18K |
| D7140 |
Extraction, erupted tooth or exposed root |
54 |
24 |
$13K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
53 |
53 |
$10K |
| D9222 |
|
53 |
53 |
$5K |