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GREATER LOUISVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PSC
GREATER LOUISVILLE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES, PSC
NPI: 1649271263
· LOUISVILLE, KY 40220
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/04/2005
$893K
Total Medicaid Paid
7,745
Beneficiary Records
Provider Details
| Authorized Official | TROKLUS, DEBBIE (PRACTICE MANAGER) |
| NPI Enumeration Date | 08/04/2005 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,226 |
$448K |
| 2019 |
4,908 |
$386K |
| 2020 |
761 |
$59K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,134 |
402 |
$229K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,121 |
831 |
$182K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,308 |
1,107 |
$147K |
| D7140 |
Extraction, erupted tooth or exposed root |
2,134 |
612 |
$98K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,147 |
1,071 |
$56K |
| D9222 |
|
640 |
588 |
$47K |
| D0330 |
Panoramic radiographic image |
1,104 |
1,019 |
$46K |
| D0140 |
Limited oral evaluation - problem focused |
1,210 |
1,118 |
$45K |
| D9610 |
|
1,097 |
997 |
$42K |