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SUSQUEHANNA ORAL & MAXILLOFACIAL SURGERY
SUSQUEHANNA ORAL & MAXILLOFACIAL SURGERY
NPI: 1851370217
· YORK, PA 17402
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/13/2006
Provider Details
| Authorized Official | DICKERSON, JOANNE (PRACTICE ADMINISTRATOR) |
| NPI Enumeration Date | 01/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
697 |
$81K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
152 |
148 |
$31K |
| D9222 |
|
163 |
163 |
$20K |
| D7240 |
Removal of impacted tooth - completely bony |
85 |
33 |
$18K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
87 |
36 |
$6K |
| D9310 |
|
103 |
103 |
$3K |
| D9612 |
|
35 |
31 |
$2K |
| D0330 |
Panoramic radiographic image |
40 |
40 |
$1K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
32 |
32 |
$1K |