NEWBURYPORT ORAL SURGERY
NPI: 1922045426
· NEWBURYPORT, MA 01950
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/01/2006
$364K
Total Medicaid Paid
Provider Details
| Authorized Official | COOKE, VERA (PRESIDENT) |
| NPI Enumeration Date | 06/01/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,227 |
$109K |
| 2019 |
1,320 |
$124K |
| 2020 |
1,039 |
$98K |
| 2021 |
335 |
$33K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,860 |
503 |
$247K |
| D0330 |
Panoramic radiographic image |
748 |
727 |
$47K |
| D0140 |
Limited oral evaluation - problem focused |
904 |
879 |
$32K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
243 |
142 |
$20K |
| D9222 |
|
144 |
142 |
$12K |
| D7230 |
|
22 |
12 |
$6K |