JOHNSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI: 1720601230
· JOHNSON CITY, TN 37604
· 204E00000X
$711K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
681 |
$59K |
| 2021 |
1,228 |
$84K |
| 2022 |
1,074 |
$53K |
| 2023 |
2,787 |
$244K |
| 2024 |
2,406 |
$271K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
|
1,556 |
471 |
$362K |
| D9223 |
|
2,270 |
1,018 |
$173K |
| D9222 |
|
1,071 |
1,017 |
$89K |
| D0140 |
|
1,571 |
1,514 |
$35K |
| D7210 |
|
207 |
80 |
$27K |
| D0330 |
|
1,471 |
1,418 |
$23K |
| D7140 |
|
30 |
12 |
$2K |