DAVID ASHLEY MD DMD ORAL SURGERY GROUP, PC
NPI: 1619721305
· LAKE CHARLES, LA 70601
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/17/2024
$386K
Total Medicaid Paid
Provider Details
| Authorized Official | ASHLEY, DAVID (PRINCIPAL) |
| NPI Enumeration Date | 04/17/2024 |
Related Entities
Other providers sharing the same authorized official: ASHLEY, DAVID
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
1,802 |
$386K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
814 |
248 |
$275K |
| D9222 |
|
288 |
281 |
$41K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
189 |
185 |
$24K |
| D7230 |
|
71 |
35 |
$20K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
105 |
61 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
293 |
291 |
$4K |
| D0330 |
Panoramic radiographic image |
42 |
40 |
$3K |