AKESO COLUMBIA OFFICE LLC
NPI: 1740810845
· COLUMBIA, MD 21045
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/17/2020
$271K
Total Medicaid Paid
Provider Details
| Authorized Official | WOLFE, AMANDA (OFFICE MANAGER) |
| NPI Enumeration Date | 01/17/2020 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
191 |
$35K |
| 2023 |
1,627 |
$183K |
| 2024 |
560 |
$52K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
290 |
103 |
$88K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
657 |
300 |
$70K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
199 |
196 |
$33K |
| D7230 |
|
102 |
56 |
$24K |
| D0140 |
Limited oral evaluation - problem focused |
350 |
346 |
$16K |
| D9222 |
|
199 |
196 |
$15K |
| D0330 |
Panoramic radiographic image |
314 |
310 |
$14K |
| D9310 |
|
207 |
205 |
$10K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
60 |
60 |
$1K |