EDISON LAKES ORAL SURGERY, P.C.
NPI: 1881887065
· SOUTH BEND, IN 46635
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/22/2007
$5.09M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: COLLINS, EDWARD
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,083 |
$30K |
| 2019 |
1,357 |
$130K |
| 2020 |
1,034 |
$125K |
| 2021 |
7,276 |
$978K |
| 2022 |
7,630 |
$1.13M |
| 2023 |
7,156 |
$956K |
| 2024 |
11,103 |
$1.74M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
17,267 |
2,566 |
$2.85M |
| D7240 |
Removal of impacted tooth - completely bony |
3,701 |
1,234 |
$1.09M |
| D9243 |
|
3,737 |
2,166 |
$265K |
| D7230 |
|
988 |
487 |
$231K |
| D9239 |
|
2,352 |
2,167 |
$175K |
| D0140 |
Limited oral evaluation - problem focused |
4,354 |
4,049 |
$168K |
| D7310 |
|
765 |
234 |
$147K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
871 |
671 |
$47K |
| D0330 |
Panoramic radiographic image |
958 |
882 |
$45K |
| D9222 |
|
759 |
683 |
$42K |
| D7140 |
Extraction, erupted tooth or exposed root |
852 |
160 |
$31K |
| D7921 |
|
35 |
28 |
$375.00 |