JOHN I. GRAY, III, PSC
NPI: 1790763258
· WINCHESTER, KY 40391
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/05/2006
$7.16M
Total Medicaid Paid
Provider Details
| Authorized Official | GRAY, JOHN (OWNER) |
| NPI Enumeration Date | 01/05/2006 |
Related Entities
Other providers sharing the same authorized official: GRAY, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
24,068 |
$1.79M |
| 2019 |
22,374 |
$1.55M |
| 2020 |
23,483 |
$1.62M |
| 2021 |
23,873 |
$1.70M |
| 2022 |
5,558 |
$502K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
22,199 |
6,930 |
$1.94M |
| D7240 |
Removal of impacted tooth - completely bony |
7,417 |
2,638 |
$1.47M |
| D7140 |
Extraction, erupted tooth or exposed root |
22,601 |
5,732 |
$1.01M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
10,760 |
6,828 |
$888K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
11,562 |
11,330 |
$564K |
| D7250 |
|
4,375 |
1,365 |
$435K |
| D9222 |
|
5,435 |
5,343 |
$423K |
| D0330 |
Panoramic radiographic image |
8,476 |
8,300 |
$323K |
| D7230 |
|
564 |
369 |
$94K |
| D9610 |
|
385 |
384 |
$16K |
| D7320 |
|
32 |
12 |
$6K |
| D9986 |
|
5,550 |
4,927 |
$0.00 |