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GREAT LAKES ORAL SURGERY AND IMPLANTS, P.C.
GREAT LAKES ORAL SURGERY AND IMPLANTS, P.C.
NPI: 1902993819
· FLINT, MI 48507
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 10/10/2006
$2.89M
Total Medicaid Paid
Provider Details
| Authorized Official | KERN, SAMANTHA (CREDENTIALING & BILLING) |
| Parent Organization | GREAT LAKES ORAL SURGERY AND IMPLANTS, P.C. |
| NPI Enumeration Date | 10/10/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,531 |
$219K |
| 2019 |
1,380 |
$182K |
| 2020 |
1,770 |
$205K |
| 2021 |
1,847 |
$228K |
| 2022 |
966 |
$98K |
| 2023 |
7,936 |
$1.15M |
| 2024 |
5,848 |
$813K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,588 |
1,532 |
$919K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
3,860 |
1,540 |
$672K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,905 |
2,528 |
$307K |
| D9310 |
|
4,027 |
4,025 |
$274K |
| D9222 |
|
2,529 |
2,511 |
$264K |
| D7230 |
|
845 |
497 |
$208K |
| D9243 |
|
926 |
408 |
$90K |
| D0330 |
Panoramic radiographic image |
1,369 |
1,366 |
$53K |
| D9239 |
|
410 |
407 |
$49K |
| D0140 |
Limited oral evaluation - problem focused |
677 |
677 |
$38K |
| D7250 |
|
90 |
52 |
$18K |
| D0160 |
|
52 |
52 |
$0.00 |