SOLOMON ORAL SURGERY LLC
NPI: 1629668538
· MOUNT PLEASANT, SC 29466
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 01/25/2021
$1.23M
Total Medicaid Paid
Provider Details
| Authorized Official | BAZZLE, ANGELA (OPERATIONS MANAGER) |
| Parent Organization | A. FREDERICK SOLOMON DMD P.A. |
| NPI Enumeration Date | 01/25/2021 |
Related Entities
Other providers sharing the same authorized official: BAZZLE, ANGELA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,468 |
$187K |
| 2022 |
2,446 |
$323K |
| 2023 |
1,885 |
$217K |
| 2024 |
4,302 |
$501K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,183 |
2,313 |
$609K |
| D7240 |
Removal of impacted tooth - completely bony |
950 |
332 |
$251K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,188 |
926 |
$102K |
| D9222 |
|
943 |
942 |
$93K |
| D9310 |
|
1,363 |
1,360 |
$79K |
| D7230 |
|
267 |
156 |
$62K |
| D7241 |
|
77 |
32 |
$27K |
| D0140 |
Limited oral evaluation - problem focused |
78 |
78 |
$3K |
| D0330 |
Panoramic radiographic image |
52 |
52 |
$2K |