DENTAL MANAGEMENT GROUP LLC
NPI: 1679905665
· THORNTON, CO 80233
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/01/2013
$2.00M
Total Medicaid Paid
Provider Details
| Authorized Official | SEDHOM, ASHRAF (PRESIDENT) |
| NPI Enumeration Date | 08/01/2013 |
Related Entities
Other providers sharing the same authorized official: SEDHOM, ASHRAF
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
236 |
$20K |
| 2019 |
2,640 |
$326K |
| 2020 |
2,615 |
$289K |
| 2021 |
3,357 |
$387K |
| 2022 |
2,820 |
$308K |
| 2023 |
2,637 |
$353K |
| 2024 |
2,524 |
$318K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,476 |
1,176 |
$969K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,062 |
1,032 |
$225K |
| D0330 |
Panoramic radiographic image |
3,752 |
3,708 |
$198K |
| D0140 |
Limited oral evaluation - problem focused |
4,074 |
4,045 |
$147K |
| D7230 |
|
624 |
333 |
$145K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
818 |
380 |
$130K |
| D9222 |
|
1,049 |
1,035 |
$111K |
| D9219 |
|
1,843 |
1,815 |
$76K |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
131 |
130 |
$0.00 |