C. MICHAEL LOCKE, D.M.D.,M.D.,PLC
NPI: 1811169071
· TULLAHOMA, TN 37388
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/27/2008
$545K
Total Medicaid Paid
Provider Details
| Authorized Official | LOCKE, C. (OWNER) |
| NPI Enumeration Date | 03/27/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,448 |
$126K |
| 2019 |
1,145 |
$88K |
| 2020 |
939 |
$93K |
| 2021 |
645 |
$48K |
| 2022 |
857 |
$50K |
| 2023 |
1,110 |
$80K |
| 2024 |
952 |
$61K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,346 |
952 |
$202K |
| D7240 |
Removal of impacted tooth - completely bony |
593 |
213 |
$133K |
| D9222 |
|
926 |
898 |
$81K |
| D7230 |
|
367 |
165 |
$71K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,274 |
1,229 |
$34K |
| D0330 |
Panoramic radiographic image |
1,199 |
1,142 |
$13K |
| D9610 |
|
360 |
340 |
$9K |
| D7140 |
Extraction, erupted tooth or exposed root |
31 |
16 |
$2K |