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NOBLESVILLE ORAL & MAXILLOFACIAL SURGERY, PROFESSIONAL CORPORATION
NOBLESVILLE ORAL & MAXILLOFACIAL SURGERY, PROFESSIONAL CORPORATION
NPI: 1588878326
· NOBLESVILLE, IN 46060
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/10/2007
$1.68M
Total Medicaid Paid
Provider Details
| Authorized Official | MOORE, FAITH (OFFICE MANAGER) |
| NPI Enumeration Date | 05/10/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
770 |
$4K |
| 2019 |
1,139 |
$134K |
| 2020 |
2,356 |
$212K |
| 2021 |
2,594 |
$286K |
| 2022 |
2,403 |
$277K |
| 2023 |
3,781 |
$478K |
| 2024 |
2,283 |
$285K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,855 |
878 |
$745K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,657 |
993 |
$410K |
| D9243 |
|
4,198 |
1,712 |
$228K |
| D9239 |
|
1,878 |
1,702 |
$115K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,333 |
2,130 |
$76K |
| D7230 |
|
170 |
89 |
$40K |
| D0330 |
Panoramic radiographic image |
628 |
596 |
$29K |
| D7220 |
|
113 |
58 |
$22K |
| D0140 |
Limited oral evaluation - problem focused |
494 |
469 |
$13K |