RANDALL W HALLIDAY DDS, INC
NPI: 1699082818
· REDLANDS, CA 92373
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/09/2010
$1.31M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HALLIDAY, RANDALL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,561 |
$363K |
| 2019 |
3,787 |
$396K |
| 2020 |
3,482 |
$384K |
| 2021 |
1,576 |
$166K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,678 |
793 |
$317K |
| D7240 |
Removal of impacted tooth - completely bony |
1,194 |
555 |
$275K |
| D9220 |
|
1,003 |
1,003 |
$208K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,070 |
2,064 |
$125K |
| D7230 |
|
527 |
283 |
$99K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
431 |
399 |
$71K |
| D0330 |
Panoramic radiographic image |
2,075 |
2,068 |
$60K |
| D9610 |
|
1,459 |
1,416 |
$59K |
| D9221 |
|
571 |
478 |
$48K |
| D9222 |
|
398 |
398 |
$46K |