WESTERN PENNSYLVANIA ORAL AND MAXILLOFACIAL SURGERY PC
NPI: 1578767463
· WASHINGTON, PA 15301
· Anesthesiology Physician
· NPI assigned 06/13/2007
$938K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,327 |
$116K |
| 2021 |
6,072 |
$527K |
| 2024 |
2,902 |
$296K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,109 |
988 |
$259K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,119 |
799 |
$211K |
| D7240 |
Removal of impacted tooth - completely bony |
1,091 |
363 |
$207K |
| D0140 |
Limited oral evaluation - problem focused |
1,938 |
1,919 |
$102K |
| D9222 |
|
828 |
801 |
$97K |
| D7140 |
Extraction, erupted tooth or exposed root |
588 |
127 |
$36K |
| D0330 |
Panoramic radiographic image |
471 |
464 |
$16K |
| D7230 |
|
40 |
31 |
$7K |
| D7310 |
|
117 |
40 |
$3K |