SOUTHERN INDIANA ORAL AND MAXILLOFACIAL SURGERY P.S.C.
NPI: 1699989434
· JEFFERSONVILLE, IN 47130
· Specialist
· NPI assigned 05/10/2007
$1.45M
Total Medicaid Paid
Provider Details
| Authorized Official | FORSEE, DON (DR/ORAL & MAXILLOFACIAL SURGEON) |
| NPI Enumeration Date | 05/10/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,262 |
$46K |
| 2019 |
3,625 |
$373K |
| 2020 |
3,862 |
$409K |
| 2021 |
2,474 |
$214K |
| 2022 |
3,394 |
$382K |
| 2023 |
347 |
$25K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,600 |
1,174 |
$823K |
| D9243 |
|
2,403 |
993 |
$188K |
| D0330 |
Panoramic radiographic image |
2,370 |
2,111 |
$101K |
| D9239 |
|
1,362 |
1,214 |
$88K |
| D7240 |
Removal of impacted tooth - completely bony |
257 |
88 |
$82K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,735 |
2,353 |
$67K |
| D7250 |
|
374 |
67 |
$66K |
| D0140 |
Limited oral evaluation - problem focused |
666 |
537 |
$27K |
| D7230 |
|
25 |
12 |
$6K |
| D9630 |
|
77 |
75 |
$1K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
56 |
53 |
$420.93 |
| D9612 |
|
39 |
13 |
$0.00 |