ADVANCED ORAL SURGERY OF BROOKLYN, PLLC
NPI: 1811134893
· BROOKLYN, NY 11226
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/13/2009
$634K
Total Medicaid Paid
Provider Details
| Authorized Official | DATSON, MOSES (PRESIDENT) |
| NPI Enumeration Date | 01/13/2009 |
Related Entities
Other providers sharing the same authorized official: DATSON, MOSES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,396 |
$61K |
| 2019 |
1,953 |
$99K |
| 2020 |
352 |
$17K |
| 2021 |
1,730 |
$112K |
| 2022 |
4,650 |
$343K |
| 2023 |
38 |
$1K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,330 |
1,672 |
$203K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,164 |
1,140 |
$94K |
| D9222 |
|
1,164 |
1,143 |
$84K |
| D0330 |
Panoramic radiographic image |
2,390 |
2,389 |
$77K |
| D9243 |
|
420 |
407 |
$62K |
| D0160 |
|
1,906 |
1,905 |
$46K |
| D7240 |
Removal of impacted tooth - completely bony |
96 |
55 |
$28K |
| D7230 |
|
154 |
128 |
$25K |
| D9310 |
|
495 |
495 |
$15K |