ROBERT J. BEAUDRY JR., D.M.D., INC.
NPI: 1578778874
· CAMP HILL, PA 17011
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/11/2007
$330K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
97 |
$12K |
| 2023 |
62 |
$8K |
| 2024 |
1,191 |
$310K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
154 |
143 |
$68K |
| D7240 |
Removal of impacted tooth - completely bony |
83 |
77 |
$65K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
219 |
202 |
$61K |
| D7140 |
Extraction, erupted tooth or exposed root |
103 |
92 |
$34K |
| D9222 |
|
216 |
202 |
$27K |
| 70486 |
|
159 |
152 |
$19K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
200 |
194 |
$18K |
| D7450 |
|
52 |
47 |
$10K |
| D0330 |
Panoramic radiographic image |
105 |
103 |
$8K |
| D7310 |
|
27 |
24 |
$8K |
| D7230 |
|
18 |
15 |
$7K |
| D7250 |
|
14 |
13 |
$5K |