VAN METER ORAL SURGERY, LLC
NPI: 1851725816
· BRANDON, MS 39042
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/27/2013
$988K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,120 |
$48K |
| 2019 |
400 |
$19K |
| 2020 |
485 |
$18K |
| 2021 |
3,090 |
$248K |
| 2022 |
4,115 |
$376K |
| 2023 |
2,036 |
$157K |
| 2024 |
1,522 |
$123K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,305 |
913 |
$319K |
| D7240 |
Removal of impacted tooth - completely bony |
1,078 |
362 |
$254K |
| D0330 |
Panoramic radiographic image |
2,950 |
2,538 |
$126K |
| D9310 |
|
2,336 |
2,101 |
$106K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,294 |
479 |
$61K |
| D9243 |
|
832 |
255 |
$47K |
| D9222 |
|
489 |
419 |
$42K |
| D9239 |
|
233 |
217 |
$19K |
| D7230 |
|
23 |
12 |
$5K |
| D0140 |
Limited oral evaluation - problem focused |
142 |
128 |
$5K |
| D7220 |
|
22 |
13 |
$3K |
| D1999 |
|
64 |
62 |
$0.00 |