ORAL SURGERY OF TEXAS PLLC
NPI: 1912592692
· AUSTIN, TX 78705
· Dental Clinic/Center
· NPI assigned 03/04/2021
$1.16M
Total Medicaid Paid
Provider Details
| Authorized Official | PERKINS, MONICA (ONBOARDING SPECIALIST) |
| NPI Enumeration Date | 03/04/2021 |
Related Entities
Other providers sharing the same authorized official: PERKINS, MONICA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
860 |
$117K |
| 2022 |
2,141 |
$336K |
| 2023 |
2,628 |
$416K |
| 2024 |
1,886 |
$290K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
3,936 |
1,164 |
$1.03M |
| D9239 |
|
1,131 |
1,112 |
$58K |
| D9243 |
|
1,126 |
1,110 |
$43K |
| D0140 |
Limited oral evaluation - problem focused |
558 |
554 |
$10K |
| D9222 |
|
153 |
153 |
$8K |
| D9310 |
|
458 |
451 |
$6K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
153 |
153 |
$6K |