COLORADO PLAINS ORAL & MAXILLOFACIAL SURGERY P.C.
NPI: 1568863223
· FORT MORGAN, CO 80701
· Dental Clinic/Center
· NPI assigned 09/11/2014
$1.23M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
748 |
$68K |
| 2019 |
872 |
$79K |
| 2020 |
1,583 |
$183K |
| 2021 |
1,801 |
$208K |
| 2022 |
2,019 |
$234K |
| 2023 |
1,996 |
$257K |
| 2024 |
1,492 |
$202K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,379 |
479 |
$369K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,078 |
1,036 |
$324K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
706 |
699 |
$136K |
| D0330 |
Panoramic radiographic image |
2,176 |
2,164 |
$114K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,170 |
269 |
$101K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,900 |
1,890 |
$77K |
| D9222 |
|
702 |
699 |
$74K |
| D7230 |
|
101 |
63 |
$24K |
| D0140 |
Limited oral evaluation - problem focused |
299 |
295 |
$10K |