FORREST G. BALE, DDS ORAL AND MAXILLOFACIAL SURGERY PA
NPI: 1568715175
· RUSSELLVILLE, AR 72801
· Dental Clinic/Center
· NPI assigned 10/19/2012
$461K
Total Medicaid Paid
Provider Details
| Authorized Official | BALE, FORREST (OWNER) |
| NPI Enumeration Date | 10/19/2012 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$0.00 |
| 2021 |
739 |
$81K |
| 2022 |
2,022 |
$238K |
| 2023 |
963 |
$97K |
| 2024 |
636 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,050 |
316 |
$263K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
625 |
493 |
$54K |
| D9222 |
|
583 |
569 |
$49K |
| D0140 |
Limited oral evaluation - problem focused |
1,148 |
1,127 |
$37K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
235 |
73 |
$30K |
| D0330 |
Panoramic radiographic image |
719 |
696 |
$28K |
| D9613 |
|
15 |
15 |
$0.00 |