SCOTT M JENSEN DMD PA
NPI: 1801101803
· GREENSBORO, NC 27401
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/13/2010
$3.68M
Total Medicaid Paid
Provider Details
| Authorized Official | JENSEN, SCOTT (OWNER) |
| NPI Enumeration Date | 08/13/2010 |
Related Entities
Other providers sharing the same authorized official: JENSEN, SCOTT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
10,034 |
$683K |
| 2019 |
8,943 |
$622K |
| 2020 |
5,342 |
$339K |
| 2021 |
5,865 |
$381K |
| 2022 |
6,123 |
$432K |
| 2023 |
7,194 |
$576K |
| 2024 |
7,613 |
$646K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
15,197 |
3,920 |
$928K |
| D7240 |
Removal of impacted tooth - completely bony |
3,660 |
1,308 |
$672K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,997 |
2,428 |
$521K |
| D7230 |
|
1,815 |
893 |
$298K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
4,282 |
2,894 |
$295K |
| D9222 |
|
3,199 |
3,055 |
$220K |
| D0140 |
Limited oral evaluation - problem focused |
5,333 |
5,071 |
$184K |
| D9612 |
|
2,074 |
2,001 |
$121K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,956 |
2,837 |
$119K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
2,608 |
2,470 |
$109K |
| D0330 |
Panoramic radiographic image |
3,105 |
2,912 |
$82K |
| D9420 |
|
536 |
506 |
$63K |
| D9610 |
|
1,059 |
1,005 |
$35K |
| D7220 |
|
130 |
79 |
$16K |
| D7310 |
|
126 |
53 |
$12K |
| D7311 |
|
25 |
12 |
$2K |
| D9630 |
|
12 |
12 |
$0.00 |