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GREENVILLE ORAL MAXILLOFACIAL SURGERY, P.A., A SOUTH CAROLINA PROFESSI
GREENVILLE ORAL MAXILLOFACIAL SURGERY, P.A., A SOUTH CAROLINA PROFESSI
NPI: 1619008547
· GREENVILLE, SC 29615
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/09/2007
$4.45M
Total Medicaid Paid
Provider Details
| Authorized Official | WILSON, JAMES (PRESIDENT) |
| NPI Enumeration Date | 03/09/2007 |
Related Entities
Other providers sharing the same authorized official: WILSON, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,607 |
$459K |
| 2019 |
3,744 |
$529K |
| 2020 |
3,006 |
$411K |
| 2021 |
4,493 |
$596K |
| 2022 |
6,279 |
$732K |
| 2023 |
4,453 |
$398K |
| 2024 |
9,091 |
$1.32M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7240 |
Removal of impacted tooth - completely bony |
7,218 |
2,278 |
$2.00M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
7,032 |
3,259 |
$946K |
| D9222 |
|
4,937 |
4,932 |
$516K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,932 |
4,909 |
$448K |
| D0140 |
Limited oral evaluation - problem focused |
8,549 |
8,546 |
$319K |
| D7230 |
|
610 |
325 |
$144K |
| D0330 |
Panoramic radiographic image |
1,395 |
1,393 |
$70K |