ORAL MAXILLO FACIAL SURGEONS, INC
NPI: 1760576813
· OMAHA, NE 68114
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/03/2006
$250K
Total Medicaid Paid
Provider Details
| Authorized Official | SMITH, GREGORY (CONTROLLER) |
| NPI Enumeration Date | 10/03/2006 |
Related Entities
Other providers sharing the same authorized official: SMITH, GREGORY
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
946 |
$64K |
| 2019 |
661 |
$45K |
| 2020 |
457 |
$19K |
| 2021 |
1,173 |
$73K |
| 2022 |
682 |
$49K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7240 |
Removal of impacted tooth - completely bony |
451 |
156 |
$84K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,047 |
685 |
$74K |
| D9222 |
|
714 |
696 |
$51K |
| D0140 |
Limited oral evaluation - problem focused |
1,038 |
1,005 |
$31K |
| D0330 |
Panoramic radiographic image |
194 |
142 |
$6K |
| D9610 |
|
356 |
172 |
$5K |
| D9612 |
|
25 |
25 |
$0.00 |
| D1999 |
|
94 |
93 |
$0.00 |