COLORADO SPRINGS ORAL AND FACIAL SURGERY
NPI: 1659755338
· COLORADO SPRINGS, CO 80917
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/13/2015
$3.65M
Total Medicaid Paid
Provider Details
| Authorized Official | OSTROM, CYNTHIA (RECEPTION) |
| NPI Enumeration Date | 07/13/2015 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
12,932 |
$1.73M |
| 2019 |
11,043 |
$1.55M |
| 2020 |
2,720 |
$365K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
6,538 |
2,117 |
$1.72M |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,733 |
1,712 |
$555K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,254 |
3,067 |
$507K |
| D9222 |
|
3,180 |
3,063 |
$309K |
| D0330 |
Panoramic radiographic image |
4,333 |
4,212 |
$221K |
| D9310 |
|
5,031 |
4,876 |
$206K |
| D7230 |
|
542 |
332 |
$119K |
| D7140 |
Extraction, erupted tooth or exposed root |
84 |
24 |
$8K |