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VIRIGINIA ORAL FACIAL & IMPLANT SURGERY
VIRIGINIA ORAL FACIAL & IMPLANT SURGERY
NPI: 1588867113
· MCLEAN, VA 22102
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 06/10/2007
$201K
Total Medicaid Paid
Provider Details
| Authorized Official | GOCKE, MICHAEL (OWNER) |
| NPI Enumeration Date | 06/10/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
160 |
$9K |
| 2021 |
361 |
$25K |
| 2022 |
632 |
$74K |
| 2023 |
1,396 |
$93K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
826 |
771 |
$66K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
427 |
162 |
$45K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
657 |
231 |
$36K |
| D7240 |
Removal of impacted tooth - completely bony |
120 |
43 |
$23K |
| D9222 |
|
240 |
232 |
$13K |
| D0330 |
Panoramic radiographic image |
188 |
179 |
$9K |
| D7230 |
|
19 |
12 |
$5K |
| D9612 |
|
72 |
69 |
$2K |