ORAL AND MAXILLOFACIAL SURGICAL ASSOCIATES PA
NPI: 1679668529
· GRAND RAPIDS, MN 55744
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/04/2006
$209K
Total Medicaid Paid
Provider Details
| Authorized Official | LAFLEUR, KATHERINE (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 10/04/2006 |
Related Entities
Other providers sharing the same authorized official: LAFLEUR, KATHERINE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
209 |
$986.25 |
| 2019 |
176 |
$13K |
| 2020 |
257 |
$35K |
| 2021 |
404 |
$80K |
| 2022 |
249 |
$53K |
| 2023 |
196 |
$20K |
| 2024 |
90 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
489 |
112 |
$142K |
| D0140 |
Limited oral evaluation - problem focused |
982 |
976 |
$63K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
31 |
27 |
$2K |
| D9222 |
|
27 |
27 |
$2K |
| D9610 |
|
12 |
12 |
$128.52 |
| D7240 |
Removal of impacted tooth - completely bony |
40 |
12 |
$0.00 |