SODERHOLM ORAL SURGERY AND IMPLANTS
NPI: 1841991262
· ALEXANDRIA, MN 56308
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/13/2023
$217K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
578 |
$68K |
| 2024 |
1,143 |
$149K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
140 |
83 |
$42K |
| D7140 |
Extraction, erupted tooth or exposed root |
259 |
72 |
$41K |
| D0140 |
Limited oral evaluation - problem focused |
489 |
487 |
$36K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
225 |
200 |
$35K |
| D7240 |
Removal of impacted tooth - completely bony |
61 |
24 |
$31K |
| D9222 |
|
200 |
200 |
$31K |
| D7921 |
|
347 |
347 |
$0.00 |