ORAL & MAXILLOFACIAL SURGERY ASSOCIATES PC
NPI: 1831264324
· FORT WAYNE, IN 46804
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 11/21/2006
$1.01M
Total Medicaid Paid
Provider Details
| Authorized Official | SHOLL, CELESTE (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 11/21/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,214 |
$129K |
| 2019 |
3,637 |
$403K |
| 2020 |
1,924 |
$200K |
| 2021 |
1,853 |
$183K |
| 2022 |
874 |
$93K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,587 |
768 |
$357K |
| D7140 |
Extraction, erupted tooth or exposed root |
4,207 |
1,132 |
$249K |
| D7230 |
|
1,230 |
583 |
$202K |
| D0140 |
Limited oral evaluation - problem focused |
1,767 |
1,599 |
$50K |
| D9239 |
|
916 |
834 |
$48K |
| D9243 |
|
905 |
713 |
$44K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
232 |
116 |
$33K |
| D0330 |
Panoramic radiographic image |
536 |
490 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
15 |
15 |
$479.25 |
| D9610 |
|
95 |
88 |
$0.00 |
| D1999 |
|
12 |
12 |
$0.00 |