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UPSTATE ORAL & MAXILLOFACIAL SURGERY & DENTAL IMPLANT CENTER, P.A.
UPSTATE ORAL & MAXILLOFACIAL SURGERY & DENTAL IMPLANT CENTER, P.A.
NPI: 1770707887
· EASLEY, SC 29640
· 1223S0112X
$1.58M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
3,875 |
$400K |
| 2019 |
3,017 |
$306K |
| 2020 |
2,912 |
$281K |
| 2021 |
2,756 |
$277K |
| 2022 |
2,386 |
$241K |
| 2023 |
1,155 |
$74K |
| 2024 |
19 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
|
2,549 |
1,214 |
$343K |
| D7240 |
|
1,169 |
392 |
$319K |
| D9223 |
|
2,722 |
2,718 |
$244K |
| D9222 |
|
2,720 |
2,718 |
$242K |
| D7230 |
|
651 |
294 |
$148K |
| D0140 |
|
3,806 |
3,806 |
$142K |
| D9310 |
|
1,486 |
1,486 |
$91K |
| D0330 |
|
910 |
910 |
$44K |
| D7140 |
|
107 |
30 |
$8K |