BAY STATE ORAL SURGERY ASSOCIATES, INC.
NPI: 1679747398
· WORCESTER, MA 01609
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/14/2008
$5.12M
Total Medicaid Paid
Provider Details
| Authorized Official | SHEN, XUE YU (PRESIDENT) |
| NPI Enumeration Date | 04/14/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
7,656 |
$1.10M |
| 2019 |
6,916 |
$951K |
| 2020 |
4,195 |
$602K |
| 2021 |
4,870 |
$709K |
| 2022 |
5,169 |
$707K |
| 2023 |
4,227 |
$603K |
| 2024 |
3,309 |
$453K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
6,125 |
2,288 |
$2.12M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
9,500 |
4,018 |
$975K |
| D9222 |
|
3,845 |
3,740 |
$392K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,285 |
1,317 |
$360K |
| D7230 |
|
1,338 |
821 |
$353K |
| D0330 |
Panoramic radiographic image |
4,173 |
4,064 |
$343K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,228 |
1,510 |
$298K |
| D0140 |
Limited oral evaluation - problem focused |
5,528 |
5,404 |
$243K |
| D7220 |
|
75 |
48 |
$16K |
| D9243 |
|
125 |
57 |
$10K |
| D7280 |
|
20 |
13 |
$8K |
| D9239 |
|
58 |
57 |
$5K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
42 |
38 |
$2K |