MELROSE WAKEFIELD ORAL SURGERY INC.
NPI: 1568409902
· MELROSE, MA 02176
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/02/2006
$195K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,315 |
$117K |
| 2019 |
685 |
$60K |
| 2020 |
214 |
$16K |
| 2021 |
16 |
$928.00 |
| 2024 |
12 |
$490.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
821 |
309 |
$107K |
| D0330 |
Panoramic radiographic image |
394 |
377 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
507 |
491 |
$20K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
130 |
65 |
$11K |
| D7140 |
Extraction, erupted tooth or exposed root |
125 |
61 |
$9K |
| D7240 |
Removal of impacted tooth - completely bony |
37 |
15 |
$9K |
| D9222 |
|
67 |
65 |
$6K |
| D9243 |
|
65 |
37 |
$4K |
| D9239 |
|
42 |
38 |
$3K |
| D0140 |
Limited oral evaluation - problem focused |
54 |
48 |
$2K |