CPD SOUTH MEADOWS LLC
NPI: 1891441762
· RENO, NV 89511
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/01/2022
$847K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: CHAMPAGNE, JASON
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,089 |
$222K |
| 2023 |
4,601 |
$618K |
| 2024 |
185 |
$7K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,090 |
634 |
$489K |
| D7240 |
Removal of impacted tooth - completely bony |
361 |
133 |
$90K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
951 |
658 |
$82K |
| D9222 |
|
752 |
696 |
$67K |
| D9310 |
|
957 |
923 |
$55K |
| D7140 |
Extraction, erupted tooth or exposed root |
325 |
75 |
$47K |
| D0330 |
Panoramic radiographic image |
412 |
396 |
$11K |
| D7220 |
|
27 |
14 |
$6K |