LEGACY DENTAL, P.C.
NPI: 1811283302
· DES MOINES, IA 50315
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 06/22/2011
$4.19M
Total Medicaid Paid
Provider Details
| Authorized Official | PURK, JEFFREY (OWNER) |
| NPI Enumeration Date | 06/22/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
6,902 |
$523K |
| 2019 |
7,528 |
$588K |
| 2020 |
6,174 |
$510K |
| 2021 |
7,579 |
$591K |
| 2022 |
6,716 |
$573K |
| 2023 |
7,951 |
$711K |
| 2024 |
7,853 |
$693K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
4,156 |
1,569 |
$847K |
| D9243 |
|
10,506 |
5,266 |
$740K |
| D7230 |
|
3,690 |
1,921 |
$671K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,125 |
1,855 |
$599K |
| D7140 |
Extraction, erupted tooth or exposed root |
11,286 |
3,334 |
$567K |
| D9239 |
|
5,478 |
5,263 |
$415K |
| D9310 |
|
6,866 |
6,621 |
$176K |
| D7220 |
|
748 |
455 |
$105K |
| D0330 |
Panoramic radiographic image |
1,848 |
1,697 |
$71K |