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ORAL SURGERY SPECIALISTS OF PUEBLO, PLLC
ORAL SURGERY SPECIALISTS OF PUEBLO, PLLC
NPI: 1619405396
· PUEBLO, CO 81008
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 05/25/2017
$1.60M
Total Medicaid Paid
Provider Details
| Authorized Official | NELSON, TYLER (OWNER) |
| NPI Enumeration Date | 05/25/2017 |
Related Entities
Other providers sharing the same authorized official: NELSON, TYLER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,461 |
$545K |
| 2019 |
5,772 |
$706K |
| 2020 |
2,804 |
$345K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,006 |
753 |
$524K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,303 |
1,121 |
$345K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,265 |
1,253 |
$186K |
| D7230 |
|
649 |
376 |
$148K |
| D9222 |
|
1,266 |
1,254 |
$122K |
| D0330 |
Panoramic radiographic image |
2,356 |
2,338 |
$120K |
| D9310 |
|
2,825 |
2,802 |
$114K |
| D7140 |
Extraction, erupted tooth or exposed root |
367 |
116 |
$36K |