CADILLAC ORAL SURGERY ASSOC
NPI: 1588618912
· CADILLAC, MI 49601
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/20/2006
$1.19M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,112 |
$305K |
| 2019 |
2,983 |
$461K |
| 2020 |
2,262 |
$311K |
| 2021 |
907 |
$108K |
| 2022 |
26 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,192 |
816 |
$564K |
| D7240 |
Removal of impacted tooth - completely bony |
507 |
235 |
$127K |
| D7230 |
|
457 |
254 |
$116K |
| D9243 |
|
1,084 |
1,023 |
$114K |
| D9239 |
|
1,033 |
1,023 |
$107K |
| D0140 |
Limited oral evaluation - problem focused |
719 |
716 |
$43K |
| D7140 |
Extraction, erupted tooth or exposed root |
436 |
102 |
$42K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
271 |
252 |
$30K |
| D9222 |
|
256 |
252 |
$29K |
| D0330 |
Panoramic radiographic image |
335 |
335 |
$16K |