ORAL SURGERY ASSOCIATES OF WEST TENNESSEE
NPI: 1669643318
· JACKSON, TN 38305
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 03/20/2008
$1.35M
Total Medicaid Paid
Provider Details
| Authorized Official | SAMMONS, STEPHEN (DENTIST/OWNER) |
| NPI Enumeration Date | 03/20/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,525 |
$112K |
| 2019 |
1,901 |
$164K |
| 2020 |
1,397 |
$135K |
| 2021 |
1,980 |
$147K |
| 2022 |
2,586 |
$184K |
| 2023 |
4,937 |
$331K |
| 2024 |
4,054 |
$281K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,958 |
2,518 |
$313K |
| D7240 |
Removal of impacted tooth - completely bony |
1,395 |
571 |
$305K |
| D9222 |
|
2,636 |
2,483 |
$212K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,248 |
497 |
$129K |
| D7230 |
|
676 |
321 |
$128K |
| D0140 |
Limited oral evaluation - problem focused |
4,539 |
4,293 |
$103K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,352 |
363 |
$78K |
| D7250 |
|
426 |
102 |
$45K |
| D0330 |
Panoramic radiographic image |
2,150 |
2,016 |
$39K |