SOUTH JERSEY CENTER FOR ORAL & MAXILLOFACIAL SURGERY, LLC
NPI: 1689892606
· MAYS LANDING, NJ 08330
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/23/2007
$122K
Total Medicaid Paid
Provider Details
| Authorized Official | EAST, MONIKA (OFFICE MANAGER) |
| NPI Enumeration Date | 04/23/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
25 |
$1K |
| 2019 |
172 |
$19K |
| 2020 |
145 |
$14K |
| 2021 |
189 |
$17K |
| 2022 |
328 |
$26K |
| 2023 |
366 |
$30K |
| 2024 |
200 |
$14K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0160 |
|
666 |
658 |
$49K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
323 |
81 |
$40K |
| D0330 |
Panoramic radiographic image |
387 |
382 |
$27K |
| D9420 |
|
12 |
12 |
$4K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
25 |
25 |
$1K |
| D9999 |
Unspecified adjunctive procedure, by report |
12 |
12 |
$12.00 |