KALISPELL ORAL SURGERY CENTER LLC
NPI: 1710652938
· KALISPELL, MT 59901
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/10/2021
$3.28M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
3,004 |
$460K |
| 2022 |
9,850 |
$1.17M |
| 2023 |
7,040 |
$1.04M |
| 2024 |
3,871 |
$606K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,743 |
3,557 |
$848K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,143 |
1,929 |
$668K |
| D0367 |
|
2,252 |
2,167 |
$593K |
| D7240 |
Removal of impacted tooth - completely bony |
2,018 |
750 |
$433K |
| D9222 |
|
3,734 |
3,550 |
$320K |
| D9310 |
|
3,789 |
3,626 |
$195K |
| D7230 |
|
766 |
383 |
$139K |
| D7250 |
|
214 |
70 |
$24K |
| D1320 |
|
698 |
648 |
$23K |
| D7220 |
|
78 |
49 |
$12K |
| D7311 |
|
106 |
41 |
$10K |
| D7140 |
Extraction, erupted tooth or exposed root |
125 |
30 |
$7K |
| D0140 |
Limited oral evaluation - problem focused |
99 |
91 |
$5K |