FAIRCLOTH BAKEMAN PARTNERSHIP
NPI: 1649209859
· AUGUSTA, GA 30909
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/01/2006
$4.05M
Total Medicaid Paid
Provider Details
| Authorized Official | COCKRELL, PAMELA (INSURANCE COORDINATOR) |
| NPI Enumeration Date | 07/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,645 |
$350K |
| 2019 |
3,768 |
$507K |
| 2020 |
4,305 |
$523K |
| 2021 |
5,546 |
$662K |
| 2022 |
7,264 |
$862K |
| 2023 |
3,857 |
$270K |
| 2024 |
7,080 |
$871K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
6,302 |
2,027 |
$1.70M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,933 |
2,708 |
$916K |
| D9222 |
|
5,044 |
5,040 |
$488K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
5,221 |
5,051 |
$461K |
| D0140 |
Limited oral evaluation - problem focused |
6,107 |
6,106 |
$225K |
| D0330 |
Panoramic radiographic image |
4,019 |
4,017 |
$202K |
| D7230 |
|
81 |
54 |
$19K |
| D9310 |
|
278 |
278 |
$17K |
| D9610 |
|
480 |
480 |
$13K |