LICHTY, JONAS
NPI: 1891965224
· WICHITA, KS 67206
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/29/2008
$2.94M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
3,796 |
$323K |
| 2019 |
4,320 |
$403K |
| 2020 |
3,466 |
$318K |
| 2021 |
4,507 |
$429K |
| 2022 |
5,325 |
$507K |
| 2023 |
5,187 |
$556K |
| 2024 |
3,723 |
$401K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
8,287 |
2,555 |
$1.60M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
8,698 |
2,873 |
$548K |
| D9222 |
|
2,930 |
2,870 |
$276K |
| D7230 |
|
1,142 |
642 |
$193K |
| D0140 |
Limited oral evaluation - problem focused |
3,706 |
3,665 |
$125K |
| D7140 |
Extraction, erupted tooth or exposed root |
798 |
296 |
$68K |
| D9610 |
|
2,837 |
2,783 |
$62K |
| D0330 |
Panoramic radiographic image |
1,857 |
1,846 |
$51K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
54 |
24 |
$8K |
| D9420 |
|
15 |
15 |
$2K |