ADVANCED DENTAL SPECIALTY GROUP
NPI: 1720405764
· ENGLEWOOD CLIFFS, NJ 07632
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/27/2014
$113K
Total Medicaid Paid
Provider Details
| Authorized Official | LEE, ALEXANDER (PRESIDENT) |
| NPI Enumeration Date | 03/27/2014 |
Related Entities
Other providers sharing the same authorized official: LEE, ALEXANDER
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
132 |
$2K |
| 2019 |
502 |
$2K |
| 2020 |
1,553 |
$5K |
| 2021 |
3,212 |
$47K |
| 2022 |
3,190 |
$38K |
| 2023 |
1,841 |
$4K |
| 2024 |
1,421 |
$15K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,117 |
2,232 |
$41K |
| D7240 |
Removal of impacted tooth - completely bony |
380 |
221 |
$17K |
| D7230 |
|
419 |
286 |
$14K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,592 |
2,529 |
$12K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
649 |
423 |
$11K |
| D0140 |
Limited oral evaluation - problem focused |
1,208 |
1,202 |
$6K |
| D0330 |
Panoramic radiographic image |
1,010 |
994 |
$5K |
| D9222 |
|
459 |
456 |
$5K |
| D7140 |
Extraction, erupted tooth or exposed root |
977 |
495 |
$576.00 |
| D0220 |
Intraoral - periapical first radiographic image |
40 |
40 |
$33.75 |