SOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA
NPI: 1831256338
· SOUTH PORTLAND, ME 04106
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/03/2007
$951K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CRAWFORD, RICHARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,585 |
$148K |
| 2019 |
840 |
$82K |
| 2020 |
1,502 |
$121K |
| 2021 |
1,930 |
$134K |
| 2022 |
2,110 |
$229K |
| 2023 |
1,749 |
$164K |
| 2024 |
817 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,590 |
1,215 |
$322K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,757 |
401 |
$163K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,521 |
472 |
$161K |
| D9222 |
|
1,220 |
1,183 |
$160K |
| D0330 |
Panoramic radiographic image |
1,101 |
1,079 |
$54K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
731 |
694 |
$39K |
| D0140 |
Limited oral evaluation - problem focused |
1,320 |
1,310 |
$32K |
| D9310 |
|
256 |
247 |
$14K |
| D7240 |
Removal of impacted tooth - completely bony |
41 |
12 |
$6K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
17 |
14 |
$640.39 |
| D1999 |
|
979 |
918 |
$0.00 |