CHAVKIN ORAL AND MAXILLOFACIAL SURGERY LLC
NPI: 1700420429
· NEW HYDE PARK, NY 11040
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/06/2019
$365K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2023 |
3,434 |
$175K |
| 2024 |
3,808 |
$190K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,407 |
1,383 |
$148K |
| D9310 |
|
1,675 |
1,675 |
$84K |
| D0330 |
Panoramic radiographic image |
2,123 |
2,123 |
$68K |
| D7240 |
Removal of impacted tooth - completely bony |
174 |
92 |
$31K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
153 |
153 |
$13K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
496 |
496 |
$12K |
| D9222 |
|
154 |
154 |
$7K |
| D7230 |
|
19 |
13 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
15 |
15 |
$450.00 |
| D9610 |
|
26 |
26 |
$301.42 |