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ORAL MAXILLOFACIAL SURGERY FAIRFIELD COUNTY LLC
ORAL MAXILLOFACIAL SURGERY FAIRFIELD COUNTY LLC
NPI: 1699210922
· NORWALK, CT 06851
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/22/2016
$106K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
15 |
$520.32 |
| 2020 |
39 |
$1K |
| 2021 |
156 |
$17K |
| 2022 |
41 |
$1K |
| 2023 |
247 |
$27K |
| 2024 |
391 |
$60K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
161 |
49 |
$45K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
84 |
83 |
$26K |
| D9310 |
|
430 |
417 |
$14K |
| D9222 |
|
84 |
83 |
$10K |
| D7451 |
|
12 |
12 |
$5K |
| D9610 |
|
78 |
70 |
$4K |
| D0330 |
Panoramic radiographic image |
25 |
25 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
15 |
12 |
$520.32 |