MONTGOMERY ORAL & FACIAL SURGERY, LLC
NPI: 1649676503
· ROCKVILLE, MD 20852
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/05/2014
$245K
Total Medicaid Paid
Provider Details
| Authorized Official | MERLO, LEONARD (PROPRIETOR) |
| NPI Enumeration Date | 11/05/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
12 |
$576.00 |
| 2023 |
765 |
$78K |
| 2024 |
1,150 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
659 |
296 |
$74K |
| D7240 |
Removal of impacted tooth - completely bony |
228 |
84 |
$69K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
216 |
216 |
$50K |
| D0140 |
Limited oral evaluation - problem focused |
402 |
400 |
$19K |
| D9222 |
|
217 |
217 |
$17K |
| D7230 |
|
46 |
31 |
$11K |
| D0330 |
Panoramic radiographic image |
40 |
40 |
$2K |
| D9310 |
|
38 |
38 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
81 |
80 |
$2K |