EL PASO ORAL SURGERY CENTER, PLLC
NPI: 1699133801
· EL PASO, TX 79915
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/02/2016
$205K
Total Medicaid Paid
Provider Details
| Authorized Official | GULLEY, ROBERT (OWNER/ORAL SURGEON) |
| NPI Enumeration Date | 02/02/2016 |
Related Entities
Other providers sharing the same authorized official: GULLEY, ROBERT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
88 |
$3K |
| 2021 |
1,790 |
$149K |
| 2022 |
558 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
514 |
169 |
$135K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
710 |
244 |
$23K |
| D0330 |
Panoramic radiographic image |
343 |
330 |
$20K |
| D9222 |
|
255 |
243 |
$14K |
| D0140 |
Limited oral evaluation - problem focused |
368 |
356 |
$7K |
| D7230 |
|
27 |
12 |
$5K |
| D9610 |
|
219 |
211 |
$2K |