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NORTH MISSISSIPPI ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PA
NORTH MISSISSIPPI ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PA
NPI: 1831104793
· TUPELO, MS 38801
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 07/29/2006
$359K
Total Medicaid Paid
Provider Details
| Authorized Official | COSTELLO, KAREN (OFFICE MANAGER) |
| NPI Enumeration Date | 07/29/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
64 |
$5K |
| 2019 |
119 |
$7K |
| 2020 |
72 |
$3K |
| 2023 |
2,300 |
$247K |
| 2024 |
1,562 |
$96K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
583 |
212 |
$137K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,384 |
584 |
$82K |
| D9222 |
|
498 |
479 |
$46K |
| D0140 |
Limited oral evaluation - problem focused |
895 |
846 |
$33K |
| D7230 |
|
144 |
78 |
$28K |
| D0330 |
Panoramic radiographic image |
417 |
390 |
$19K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
125 |
49 |
$14K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
71 |
63 |
$0.00 |