CUMBERLAND SURGICAL ARTS AND ASSOCIATES, PLLC
NPI: 1558879007
· CLARKSVILLE, TN 37043
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/18/2018
$464K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, GEORGE (DOCTOR) |
| NPI Enumeration Date | 01/18/2018 |
Related Entities
Other providers sharing the same authorized official: LEE, GEORGE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
995 |
$74K |
| 2020 |
1,458 |
$83K |
| 2021 |
834 |
$52K |
| 2022 |
509 |
$26K |
| 2023 |
696 |
$33K |
| 2024 |
2,563 |
$197K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,539 |
807 |
$142K |
| D9222 |
|
820 |
807 |
$75K |
| D7240 |
Removal of impacted tooth - completely bony |
254 |
86 |
$57K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
282 |
97 |
$37K |
| D7230 |
|
192 |
63 |
$37K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,242 |
1,233 |
$35K |
| D0140 |
Limited oral evaluation - problem focused |
1,047 |
1,033 |
$32K |
| D0330 |
Panoramic radiographic image |
536 |
524 |
$29K |
| D9610 |
|
696 |
686 |
$19K |
| 81025 |
|
12 |
12 |
$2.25 |
| D9219 |
|
27 |
27 |
$0.00 |
| D1999 |
|
408 |
385 |
$0.00 |