AKESO CHESAPEAKE ORAL SURGERY LLC
NPI: 1689247587
· LUTHERVILLE TIMONIUM, MD 21093
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 07/20/2021
$709K
Total Medicaid Paid
Provider Details
| Authorized Official | LYN, TREVANN (OWNER) |
| NPI Enumeration Date | 07/20/2021 |
Related Entities
Other providers sharing the same authorized official: LYN, TREVANN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,630 |
$216K |
| 2023 |
2,241 |
$343K |
| 2024 |
964 |
$150K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,435 |
477 |
$423K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
911 |
415 |
$96K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
406 |
404 |
$70K |
| D9222 |
|
405 |
404 |
$31K |
| D9310 |
|
652 |
645 |
$31K |
| D7230 |
|
111 |
66 |
$25K |
| D0140 |
Limited oral evaluation - problem focused |
400 |
399 |
$19K |
| D0330 |
Panoramic radiographic image |
152 |
152 |
$7K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
363 |
357 |
$7K |