MOFS-CT ORAL FACIAL SURGERY LLC
NPI: 1861920068
· OLD GREENWICH, CT 06870
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/01/2017
$672K
Total Medicaid Paid
Provider Details
| Authorized Official | BODEY, JANET (MANAGING MEMBER) |
| NPI Enumeration Date | 06/01/2017 |
Related Entities
Other providers sharing the same authorized official: BODEY, JANET
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
248 |
$18K |
| 2019 |
1,023 |
$100K |
| 2020 |
631 |
$59K |
| 2021 |
1,393 |
$135K |
| 2022 |
1,910 |
$167K |
| 2023 |
1,426 |
$124K |
| 2024 |
918 |
$69K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9243 |
|
1,724 |
1,375 |
$322K |
| D9239 |
|
1,557 |
1,360 |
$114K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
868 |
392 |
$94K |
| D0330 |
Panoramic radiographic image |
1,554 |
1,400 |
$78K |
| D0140 |
Limited oral evaluation - problem focused |
1,723 |
1,560 |
$47K |
| D7220 |
|
99 |
43 |
$13K |
| D7230 |
|
24 |
13 |
$5K |