EVOLUTION ORAL SURGERY
NPI: 1821693300
· GERMANTOWN, MD 20876
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 12/02/2020
$106K
Total Medicaid Paid
Provider Details
| Authorized Official | RYAN, JAMES (ORAL SURGEON/OWNER) |
| NPI Enumeration Date | 12/02/2020 |
Related Entities
Other providers sharing the same authorized official: RYAN, JAMES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
847 |
$103K |
| 2022 |
57 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7240 |
Removal of impacted tooth - completely bony |
175 |
56 |
$48K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
149 |
148 |
$22K |
| D9310 |
|
352 |
351 |
$17K |
| D9222 |
|
154 |
153 |
$11K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
74 |
39 |
$8K |