KOLASA, JUSTIN
NPI: 1598100372
· DANVILLE, KY 40422
· Specialist
· NPI assigned 05/07/2013
$2.15M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
68 |
$4K |
| 2020 |
2,187 |
$183K |
| 2021 |
2,161 |
$139K |
| 2022 |
4,745 |
$372K |
| 2023 |
6,065 |
$730K |
| 2024 |
5,785 |
$721K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,952 |
1,250 |
$726K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,886 |
1,915 |
$424K |
| D7240 |
Removal of impacted tooth - completely bony |
1,311 |
457 |
$336K |
| D9222 |
|
1,947 |
1,916 |
$208K |
| D0330 |
Panoramic radiographic image |
2,185 |
2,129 |
$118K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,538 |
296 |
$109K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,230 |
2,174 |
$105K |
| D9610 |
|
1,671 |
1,643 |
$69K |
| D7310 |
|
291 |
94 |
$54K |