TALLAHASSEE ORAL AND MAXILLOFACIAL SURGERY, PLLC
NPI: 1902398639
· TALLAHASSEE, FL 32311
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/30/2018
$1.29M
Total Medicaid Paid
Provider Details
| Authorized Official | ORTIZ, RICARDO (ORAL AND MAXILLOFACIAL SURGEON) |
| NPI Enumeration Date | 05/30/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
2,556 |
$449K |
| 2023 |
3,152 |
$520K |
| 2024 |
2,573 |
$323K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,461 |
694 |
$441K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,480 |
964 |
$398K |
| D9310 |
|
1,422 |
1,341 |
$188K |
| D7240 |
Removal of impacted tooth - completely bony |
377 |
132 |
$180K |
| D9222 |
|
1,036 |
974 |
$35K |
| D7230 |
|
47 |
27 |
$20K |
| D0330 |
Panoramic radiographic image |
1,418 |
1,339 |
$18K |
| D7250 |
|
40 |
14 |
$11K |