CENTRAL MASS ORAL AND MAXILLOFACIAL SURGERY, P.C.
NPI: 1629176623
· LEOMINSTER, MA 01453
· Specialist
· NPI assigned 09/21/2006
$350K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
64 |
$4K |
| 2019 |
262 |
$41K |
| 2020 |
236 |
$24K |
| 2021 |
440 |
$60K |
| 2022 |
488 |
$56K |
| 2023 |
681 |
$118K |
| 2024 |
358 |
$48K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7240 |
Removal of impacted tooth - completely bony |
722 |
184 |
$213K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
678 |
664 |
$36K |
| D0330 |
Panoramic radiographic image |
433 |
416 |
$36K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
380 |
291 |
$36K |
| D9222 |
|
316 |
280 |
$29K |