MIDLAND ORAL & MAXILLOFACIAL SURGERY P.C.
NPI: 1619964715
· MIDLAND, MI 48640
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 10/04/2005
$589K
Total Medicaid Paid
Provider Details
| Authorized Official | BOWERS, SHIANNE (FINANCIAL DEPT) |
| NPI Enumeration Date | 10/04/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
601 |
$68K |
| 2019 |
688 |
$88K |
| 2020 |
321 |
$31K |
| 2021 |
921 |
$85K |
| 2022 |
1,038 |
$115K |
| 2023 |
1,467 |
$173K |
| 2024 |
233 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
933 |
378 |
$222K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,378 |
682 |
$142K |
| D0140 |
Limited oral evaluation - problem focused |
1,328 |
1,325 |
$76K |
| D9222 |
|
683 |
682 |
$69K |
| D9243 |
|
273 |
132 |
$30K |
| D0330 |
Panoramic radiographic image |
444 |
444 |
$14K |
| D9239 |
|
116 |
116 |
$13K |
| D7230 |
|
46 |
25 |
$11K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
68 |
39 |
$11K |