TDT OMS
NPI: 1831476886
· NEWPORT NEWS, VA 23608
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/04/2011
$470K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
2,597 |
$162K |
| 2019 |
2,885 |
$193K |
| 2020 |
145 |
$5K |
| 2021 |
274 |
$13K |
| 2022 |
416 |
$33K |
| 2023 |
943 |
$64K |
| 2024 |
224 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
1,615 |
519 |
$108K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,535 |
1,083 |
$89K |
| D7240 |
Removal of impacted tooth - completely bony |
416 |
132 |
$88K |
| D9222 |
|
1,140 |
1,132 |
$62K |
| D0140 |
Limited oral evaluation - problem focused |
1,821 |
1,809 |
$44K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
342 |
168 |
$42K |
| D9310 |
|
464 |
460 |
$28K |
| D0330 |
Panoramic radiographic image |
151 |
150 |
$8K |