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MONTANA ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
MONTANA ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
NPI: 1821328394
· HELENA, MT 59601
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/06/2010
$2.48M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
409 |
$0.00 |
| 2019 |
5,658 |
$424K |
| 2020 |
9,214 |
$1.11M |
| 2021 |
6,894 |
$946K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
5,906 |
1,572 |
$609K |
| D0367 |
|
3,123 |
2,543 |
$590K |
| D7240 |
Removal of impacted tooth - completely bony |
2,422 |
692 |
$455K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,664 |
2,130 |
$376K |
| D9222 |
|
2,593 |
2,128 |
$186K |
| D9310 |
|
3,879 |
3,233 |
$144K |
| D9920 |
|
540 |
488 |
$47K |
| D7311 |
|
338 |
196 |
$41K |
| D7310 |
|
190 |
83 |
$13K |
| D7250 |
|
95 |
33 |
$13K |
| D7230 |
|
21 |
12 |
$5K |
| D1999 |
|
404 |
320 |
$127.50 |