NASSAU ORAL & MAXILLOFACIAL SURGERY, PLLC
NPI: 1881278513
· NEW YORK, NY 10019
· Dental Clinic/Center
· NPI assigned 05/09/2021
$136K
Total Medicaid Paid
Provider Details
| Authorized Official | ETUFUGH, NGOZI (OWNER) |
| NPI Enumeration Date | 05/09/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
14 |
$545.00 |
| 2022 |
1,167 |
$91K |
| 2023 |
1,135 |
$45K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9310 |
|
612 |
612 |
$31K |
| D0367 |
|
105 |
104 |
$29K |
| D0365 |
|
77 |
76 |
$21K |
| D0330 |
Panoramic radiographic image |
503 |
503 |
$15K |
| D0366 |
|
51 |
50 |
$14K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
173 |
114 |
$11K |
| D0160 |
|
299 |
299 |
$6K |
| D9610 |
|
145 |
140 |
$2K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
13 |
12 |
$2K |
| D0274 |
Bitewings - four radiographic images |
85 |
83 |
$2K |
| D0220 |
Intraoral - periapical first radiographic image |
85 |
84 |
$871.39 |
| D9222 |
|
13 |
12 |
$743.42 |
| D7510 |
|
16 |
15 |
$594.33 |
| D0230 |
Intraoral - periapical each additional radiographic image |
71 |
70 |
$544.51 |
| D0210 |
Intraoral - complete series of radiographic images |
68 |
65 |
$226.74 |