ORAL AND CRANIOFACIAL CENTER
NPI: 1750699682
· EDINBURG, TX 78539
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 09/14/2010
$693K
Total Medicaid Paid
Provider Details
| Authorized Official | ZAPATA, LIZETTE (OFFICE MANAGER) |
| NPI Enumeration Date | 09/14/2010 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
31 |
$918.38 |
| 2021 |
1,633 |
$152K |
| 2022 |
2,048 |
$212K |
| 2023 |
2,084 |
$182K |
| 2024 |
1,691 |
$145K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,796 |
618 |
$459K |
| D0330 |
Panoramic radiographic image |
1,398 |
1,321 |
$72K |
| D9239 |
|
567 |
552 |
$31K |
| D0140 |
Limited oral evaluation - problem focused |
1,523 |
1,478 |
$30K |
| D9243 |
|
562 |
489 |
$25K |
| D7140 |
Extraction, erupted tooth or exposed root |
370 |
166 |
$23K |
| D9222 |
|
353 |
318 |
$17K |
| D0160 |
|
520 |
431 |
$10K |
| D7230 |
|
68 |
39 |
$10K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
247 |
210 |
$8K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
62 |
26 |
$7K |
| D9310 |
|
21 |
16 |
$553.74 |