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ELKHART ORAL AND MAXILLOFACIAL SURGERY INC.
ELKHART ORAL AND MAXILLOFACIAL SURGERY INC.
NPI: 1891973541
· ELKHART, IN 46514
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/05/2008
$165K
Total Medicaid Paid
Provider Details
| Authorized Official | MCBRIDE, JEFFREY (OWNER/PARTNER) |
| NPI Enumeration Date | 02/05/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,673 |
$60K |
| 2019 |
934 |
$92K |
| 2020 |
206 |
$13K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
711 |
277 |
$70K |
| D7240 |
Removal of impacted tooth - completely bony |
256 |
75 |
$28K |
| D9243 |
|
433 |
263 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
752 |
697 |
$19K |
| D7140 |
Extraction, erupted tooth or exposed root |
321 |
124 |
$12K |
| D9239 |
|
289 |
252 |
$12K |
| D0330 |
Panoramic radiographic image |
29 |
26 |
$2K |
| D7230 |
|
22 |
12 |
$817.05 |