WEST MESA ORAL AND MAXILLOFACIAL SURGERY PC
NPI: 1598929242
· ALBUQUERQUE, NM 87114
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/11/2008
$1.02M
Total Medicaid Paid
Provider Details
| Authorized Official | ROYBAL, SHANNON (ACCOUNTS RECEIVABLE) |
| NPI Enumeration Date | 07/11/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
8,262 |
$697K |
| 2019 |
3,891 |
$317K |
| 2022 |
145 |
$6K |
| 2024 |
15 |
$466.21 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,298 |
549 |
$234K |
| D7230 |
|
1,391 |
717 |
$220K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,628 |
562 |
$168K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
840 |
502 |
$92K |
| D9222 |
|
1,413 |
1,408 |
$80K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,457 |
1,421 |
$78K |
| D0140 |
Limited oral evaluation - problem focused |
2,125 |
2,122 |
$61K |
| D7220 |
|
397 |
273 |
$51K |
| D0330 |
Panoramic radiographic image |
620 |
617 |
$22K |
| D7250 |
|
57 |
15 |
$7K |
| D7310 |
|
59 |
25 |
$7K |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
28 |
$294.27 |