ORAL SURGERY OF SOUTH CAROLINA LLC
NPI: 1831638873
· N CHARLESTON, SC 29406
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/22/2017
$3.83M
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
2,616 |
$407K |
| 2020 |
3,642 |
$574K |
| 2021 |
6,501 |
$1.13M |
| 2022 |
6,275 |
$1.09M |
| 2023 |
1,963 |
$236K |
| 2024 |
2,166 |
$389K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
10,208 |
2,941 |
$2.78M |
| D9222 |
|
3,340 |
3,340 |
$303K |
| D7230 |
|
766 |
353 |
$177K |
| D9310 |
|
2,861 |
2,859 |
$175K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,779 |
1,741 |
$158K |
| D0140 |
Limited oral evaluation - problem focused |
2,356 |
2,355 |
$89K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
494 |
265 |
$66K |
| D0330 |
Panoramic radiographic image |
756 |
756 |
$37K |
| D9239 |
|
283 |
283 |
$21K |
| D9243 |
|
282 |
282 |
$21K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
38 |
38 |
$1K |