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EASTON ORAL AND MAXILLOFACIAL SURGERY CENTER
EASTON ORAL AND MAXILLOFACIAL SURGERY CENTER
NPI: 1922064773
· EASTON, PA 18045
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/21/2006
$2.11M
Total Medicaid Paid
Provider Details
| Authorized Official | GOULD, STEVEN (PRESIDENT) |
| NPI Enumeration Date | 04/21/2006 |
Related Entities
Other providers sharing the same authorized official: GOULD, STEVEN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
3,548 |
$516K |
| 2021 |
10,369 |
$1.60M |
| 2024 |
15 |
$187.24 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
6,022 |
1,825 |
$1.13M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,359 |
1,297 |
$341K |
| D7240 |
Removal of impacted tooth - completely bony |
557 |
214 |
$164K |
| D9222 |
|
1,339 |
1,293 |
$153K |
| D7230 |
|
471 |
215 |
$128K |
| D0120 |
Periodic oral evaluation - established patient |
2,992 |
2,869 |
$123K |
| D0330 |
Panoramic radiographic image |
1,036 |
991 |
$69K |
| D7310 |
|
48 |
13 |
$5K |
| D7140 |
Extraction, erupted tooth or exposed root |
32 |
12 |
$4K |
| D1999 |
|
76 |
73 |
$0.00 |