CLARK, JEV
NPI: 1558622936
· SALEM, OR 97302
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/01/2012
$120K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
404 |
$42K |
| 2022 |
39 |
$3K |
| 2023 |
222 |
$40K |
| 2024 |
210 |
$35K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
297 |
76 |
$64K |
| D0140 |
Limited oral evaluation - problem focused |
339 |
317 |
$23K |
| D9222 |
|
123 |
108 |
$17K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
116 |
67 |
$16K |