LILLY, JASON
NPI: 1912226895
· CLARKSVILLE, TN 37043
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/18/2010
$211K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
65 |
$7K |
| 2024 |
1,817 |
$204K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
582 |
164 |
$86K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
410 |
230 |
$57K |
| D9222 |
|
232 |
230 |
$32K |
| D0330 |
Panoramic radiographic image |
239 |
238 |
$18K |
| D9610 |
|
231 |
229 |
$10K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
132 |
131 |
$6K |
| D0140 |
Limited oral evaluation - problem focused |
56 |
56 |
$3K |