JACKSONVILLE ORAL SURGERY PLLC
NPI: 1871123984
· JACKSONVILLE, FL 32204
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/17/2020
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more
$3.87M
Total Medicaid Paid
Provider Details
| Authorized Official | COLE, MIKE (VP INSURANCE PLAN MANAGEMENT) |
| NPI Enumeration Date | 01/17/2020 |
Related Entities
Other providers sharing the same authorized official: COLE, MIKE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
493 |
$58K |
| 2021 |
2,231 |
$298K |
| 2022 |
13,035 |
$1.79M |
| 2023 |
5,800 |
$779K |
| 2024 |
8,783 |
$945K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
11,060 |
2,635 |
$1.24M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,927 |
1,459 |
$1.04M |
| D7240 |
Removal of impacted tooth - completely bony |
1,462 |
602 |
$517K |
| D7230 |
|
1,728 |
866 |
$493K |
| D0330 |
Panoramic radiographic image |
4,876 |
4,748 |
$408K |
| D0140 |
Limited oral evaluation - problem focused |
5,575 |
5,437 |
$52K |
| D7140 |
Extraction, erupted tooth or exposed root |
615 |
152 |
$50K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
1,522 |
1,472 |
$38K |
| D9222 |
|
1,532 |
1,455 |
$37K |
| D9420 |
|
45 |
42 |
$200.00 |