BELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC
NPI: 1558690545
· PAPILLION, NE 68046
· 261QD0000X
$685K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,815 |
$154K |
| 2019 |
2,171 |
$203K |
| 2020 |
2,696 |
$200K |
| 2021 |
1,450 |
$128K |
| 2024 |
13 |
$359.86 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
|
1,422 |
509 |
$280K |
| D9223 |
|
2,516 |
1,031 |
$192K |
| D9222 |
|
1,040 |
1,032 |
$90K |
| D7210 |
|
790 |
287 |
$64K |
| D0140 |
|
1,555 |
1,554 |
$34K |
| D7230 |
|
97 |
55 |
$16K |
| D1999 |
|
669 |
625 |
$7K |
| D0330 |
|
56 |
56 |
$2K |