AOFS VAN LEEUWEN PC
NPI: 1831621093
· FAIRBANKS, AK 99701
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 03/28/2017
$415K
Total Medicaid Paid
Provider Details
| Authorized Official | MARTIN, BILLIE (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 03/28/2017 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
205 |
$18K |
| 2019 |
151 |
$13K |
| 2020 |
150 |
$27K |
| 2021 |
414 |
$91K |
| 2022 |
389 |
$41K |
| 2023 |
923 |
$147K |
| 2024 |
581 |
$79K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
315 |
284 |
$168K |
| D0140 |
Limited oral evaluation - problem focused |
1,399 |
1,334 |
$76K |
| D9222 |
|
355 |
316 |
$49K |
| D9243 |
|
134 |
121 |
$37K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
170 |
73 |
$36K |
| D9239 |
|
142 |
133 |
$20K |
| D9610 |
|
224 |
213 |
$16K |
| D7230 |
|
34 |
12 |
$11K |
| D0330 |
Panoramic radiographic image |
40 |
40 |
$3K |