CENTRASOTA ORAL & MAXILLOFACIAL SURGEONS, P.A.
NPI: 1598710477
· SAINT CLOUD, MN 56303
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/22/2006
$5.06M
Total Medicaid Paid
Provider Details
| Authorized Official | KECK, ROBERT (PRESIDENT) |
| NPI Enumeration Date | 05/22/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
5,546 |
$101K |
| 2019 |
5,195 |
$502K |
| 2020 |
5,655 |
$561K |
| 2021 |
8,051 |
$953K |
| 2022 |
6,246 |
$1.00M |
| 2023 |
5,635 |
$816K |
| 2024 |
6,265 |
$1.12M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
15,493 |
5,958 |
$2.47M |
| D7140 |
Extraction, erupted tooth or exposed root |
7,247 |
2,436 |
$653K |
| D9222 |
|
3,243 |
3,153 |
$547K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,294 |
2,745 |
$504K |
| D0140 |
Limited oral evaluation - problem focused |
10,802 |
10,556 |
$479K |
| D7240 |
Removal of impacted tooth - completely bony |
1,166 |
475 |
$223K |
| D7230 |
|
1,256 |
620 |
$180K |
| D0330 |
Panoramic radiographic image |
92 |
91 |
$4K |