WESTERN LAKE ERIE OMS, PC
NPI: 1629445986
· MONROE, MI 48162
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/21/2015
$315K
Total Medicaid Paid
Provider Details
| Authorized Official | VORE, WENDY (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 08/21/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
887 |
$38K |
| 2019 |
788 |
$37K |
| 2020 |
848 |
$39K |
| 2021 |
917 |
$45K |
| 2022 |
602 |
$38K |
| 2023 |
611 |
$75K |
| 2024 |
527 |
$42K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,228 |
709 |
$150K |
| D0140 |
Limited oral evaluation - problem focused |
2,193 |
2,176 |
$94K |
| D7240 |
Removal of impacted tooth - completely bony |
193 |
81 |
$50K |
| D7140 |
Extraction, erupted tooth or exposed root |
83 |
26 |
$7K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
56 |
39 |
$6K |
| D9222 |
|
39 |
39 |
$4K |
| D7230 |
|
19 |
12 |
$2K |
| D0330 |
Panoramic radiographic image |
76 |
76 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
106 |
105 |
$0.00 |
| D1999 |
|
172 |
170 |
$0.00 |
| D9612 |
|
15 |
15 |
$0.00 |