MIDWEST ORAL AND MAXILLOFACIAL SURGERY P C
NPI: 1598781106
· FORT WAYNE, IN 46815
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/15/2006
$3.82M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,791 |
$239K |
| 2019 |
9,094 |
$794K |
| 2020 |
7,736 |
$760K |
| 2021 |
6,823 |
$700K |
| 2022 |
4,194 |
$402K |
| 2023 |
5,418 |
$534K |
| 2024 |
3,276 |
$394K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
7,620 |
2,087 |
$942K |
| D7240 |
Removal of impacted tooth - completely bony |
2,790 |
940 |
$711K |
| D7230 |
|
3,496 |
1,311 |
$693K |
| D7140 |
Extraction, erupted tooth or exposed root |
7,324 |
1,555 |
$417K |
| D9243 |
|
7,347 |
2,641 |
$390K |
| D0330 |
Panoramic radiographic image |
4,892 |
4,025 |
$207K |
| D9239 |
|
2,877 |
2,352 |
$186K |
| D0140 |
Limited oral evaluation - problem focused |
4,667 |
3,653 |
$164K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
3,385 |
2,959 |
$78K |
| D7310 |
|
198 |
51 |
$14K |
| D7220 |
|
172 |
97 |
$14K |
| D7250 |
|
57 |
12 |
$5K |
| D1999 |
|
507 |
438 |
$200.00 |