BLUE RIDGE ORAL SURGERY, INC.
NPI: 1710013446
· FISHERSVILLE, VA 22939
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/26/2007
$1.36M
Total Medicaid Paid
Provider Details
| Authorized Official | BRANDT, MATTHEW (PRESIDENT) |
| NPI Enumeration Date | 02/26/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,743 |
$115K |
| 2019 |
2,629 |
$209K |
| 2020 |
1,574 |
$128K |
| 2021 |
1,534 |
$131K |
| 2022 |
3,446 |
$433K |
| 2023 |
5,383 |
$343K |
| 2024 |
2,683 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
4,199 |
1,242 |
$682K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,597 |
2,452 |
$225K |
| D9222 |
|
2,457 |
2,408 |
$120K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
964 |
436 |
$89K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,567 |
2,542 |
$81K |
| D0330 |
Panoramic radiographic image |
1,465 |
1,452 |
$63K |
| D9310 |
|
1,305 |
1,283 |
$51K |
| D7140 |
Extraction, erupted tooth or exposed root |
534 |
138 |
$38K |
| D9612 |
|
721 |
706 |
$6K |
| D9610 |
|
183 |
183 |
$5K |