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EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC
EAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI: 1720330004
· MUNCIE, IN 47304
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 10/10/2012
$359K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: PAPADOPOULOS, HARRY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
680 |
$12K |
| 2019 |
517 |
$69K |
| 2020 |
634 |
$70K |
| 2021 |
758 |
$81K |
| 2022 |
738 |
$88K |
| 2023 |
373 |
$38K |
| 2024 |
13 |
$559.65 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,098 |
578 |
$288K |
| D0140 |
Limited oral evaluation - problem focused |
553 |
490 |
$15K |
| D9243 |
|
266 |
131 |
$12K |
| D7240 |
Removal of impacted tooth - completely bony |
143 |
49 |
$12K |
| D7140 |
Extraction, erupted tooth or exposed root |
158 |
42 |
$11K |
| D9239 |
|
212 |
198 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
247 |
228 |
$9K |
| D0330 |
Panoramic radiographic image |
36 |
26 |
$2K |