FACIAL & ORAL SURGERY ASSOCIATES, INC.
NPI: 1649453275
· POCATELLO, ID 83201
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/05/2007
$6.35M
Total Medicaid Paid
Provider Details
| Authorized Official | STUART, WENDE (OFFICE ADMINISTRATOR) |
| NPI Enumeration Date | 12/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,088 |
$174K |
| 2019 |
2,855 |
$199K |
| 2020 |
12,597 |
$1.01M |
| 2021 |
14,903 |
$1.20M |
| 2022 |
13,815 |
$1.13M |
| 2023 |
16,123 |
$1.41M |
| 2024 |
13,968 |
$1.23M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
17,464 |
4,486 |
$2.76M |
| D7240 |
Removal of impacted tooth - completely bony |
9,025 |
3,364 |
$2.57M |
| D7230 |
|
1,446 |
902 |
$326K |
| 41874 |
|
1,686 |
507 |
$275K |
| D0330 |
Panoramic radiographic image |
3,826 |
3,822 |
$172K |
| D9222 |
|
6,884 |
6,845 |
$95K |
| D7140 |
Extraction, erupted tooth or exposed root |
13,171 |
1,774 |
$46K |
| D0140 |
Limited oral evaluation - problem focused |
8,453 |
8,426 |
$38K |
| 40819 |
|
158 |
157 |
$37K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
15,116 |
6,995 |
$32K |
| D7250 |
|
61 |
28 |
$2K |
| 70486 |
|
12 |
12 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
47 |
47 |
$81.76 |