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ATLANTIC PINES ORAL SURGERY AND ANESTHESIA
ATLANTIC PINES ORAL SURGERY AND ANESTHESIA
NPI: 1730702762
· WELLS, ME 04090
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 05/26/2020
$139K
Total Medicaid Paid
Provider Details
| Authorized Official | SNOW, JESSE (OWNER) |
| NPI Enumeration Date | 05/26/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
29 |
$420.00 |
| 2022 |
171 |
$13K |
| 2023 |
540 |
$53K |
| 2024 |
523 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
351 |
211 |
$69K |
| D9222 |
|
221 |
211 |
$28K |
| D0140 |
Limited oral evaluation - problem focused |
494 |
470 |
$22K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
137 |
67 |
$17K |
| D0330 |
Panoramic radiographic image |
60 |
60 |
$4K |