PALMETTO ORAL & MAXILLOFACIAL SURGEONS
NPI: 1598705931
· FLORENCE, SC 29501
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/07/2006
$1.62M
Total Medicaid Paid
Provider Details
| Authorized Official | LOWRY, KENNETH (PRESIDENT) |
| NPI Enumeration Date | 06/07/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,271 |
$255K |
| 2019 |
2,820 |
$310K |
| 2020 |
1,791 |
$177K |
| 2021 |
2,612 |
$292K |
| 2022 |
2,721 |
$320K |
| 2023 |
845 |
$48K |
| 2024 |
1,757 |
$218K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,889 |
923 |
$812K |
| D9222 |
|
2,190 |
2,190 |
$218K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,308 |
2,210 |
$210K |
| D0330 |
Panoramic radiographic image |
2,936 |
2,936 |
$148K |
| D0140 |
Limited oral evaluation - problem focused |
3,755 |
3,754 |
$145K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
317 |
173 |
$45K |
| D9310 |
|
351 |
351 |
$25K |
| D7230 |
|
71 |
40 |
$17K |