RUSSELL K KIRK, DDS, PC
NPI: 1831361013
· LEBANON, TN 37087
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/28/2008
$330K
Total Medicaid Paid
Provider Details
| Authorized Official | KIRK, RUSSELL (PRESIDENT) |
| NPI Enumeration Date | 03/28/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
863 |
$82K |
| 2019 |
718 |
$50K |
| 2020 |
814 |
$63K |
| 2021 |
662 |
$36K |
| 2022 |
614 |
$29K |
| 2023 |
519 |
$24K |
| 2024 |
617 |
$47K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,272 |
699 |
$106K |
| D7230 |
|
386 |
123 |
$78K |
| D9222 |
|
728 |
713 |
$61K |
| D0140 |
Limited oral evaluation - problem focused |
1,834 |
1,804 |
$43K |
| D9612 |
|
430 |
419 |
$20K |
| D7240 |
Removal of impacted tooth - completely bony |
47 |
17 |
$12K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
96 |
26 |
$9K |
| D0330 |
Panoramic radiographic image |
14 |
14 |
$253.60 |