SOUTHSIDE ORAL & FACIAL SURGERY
NPI: 1801067285
· CHESTER, VA 23831
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/13/2008
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
578 |
$54K |
| 2019 |
92 |
$13K |
| 2020 |
155 |
$19K |
| 2021 |
115 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
127 |
37 |
$31K |
| D9310 |
|
363 |
362 |
$29K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
218 |
100 |
$13K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
106 |
31 |
$13K |
| D9222 |
|
89 |
87 |
$5K |
| D0330 |
Panoramic radiographic image |
37 |
37 |
$2K |