COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC

NPI: 1922680388 · COLORADO SPRINGS, CO 80921 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/26/2021

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official COLE, MIKE controls 20+ related entities in our dataset. Read more

$234K

Total Medicaid Paid

2,123

Total Claims

1,810

Beneficiaries

Codes Billed

2020-04

First Month

2021-01

Last Month

Provider Details

Authorized Official	COLE, MIKE (VP INSURANCE PLAN MANAGEMENT)
Parent Organization	COLORADO SPRINGS ORAL AND FACIAL SURGERY CENTER PLLC
NPI Enumeration Date	04/26/2021

Other providers sharing the same authorized official: COLE, MIKE

Provider	City	State	Total Paid
GENTLE DENTAL GRATIOT AVE PLLC	DETROIT	MI	$4.52M
PDOM ELKTON	ELKTON	MD	$4.44M
PDOM HAVRE DE GRACE	HAVRE DE GRACE	MD	$4.29M
DENTAL CENTER OF GOSHEN PLLC	GOSHEN	IN	$3.23M
GENTLE DENTAL GRAND RIVER PLLC	DETROIT	MI	$2.49M
PEDIATRIC DENTISTRY AND ORTHODONTICS OF MARYLAND LLC	GLEN BURNIE	MD	$1.99M
GENTLE DENTAL WESTLAND PLLC	WESTLAND	MI	$1.60M
KONIKOFF DENTAL ASSOCIATES, INC.	VIRGINIA BEACH	VA	$1.34M
DENTAL CARE ALLIANCE LLC	SARASOTA	FL	$838K
GENTLE DENTAL SHORES PLLC	SAINT CLAIR SHORES	MI	$754K
FAMILY DENTAL GROUP ASSOCIATES PLLC	FLINT	MI	$703K
GENTLE DENTAL WARREN PLLC	WARREN	MI	$559K
GENTLE DENTAL BAY PLLC	NEW BALTIMORE	MI	$305K
GENTLE DENTAL THORNDALE LLC	THORNDALE	PA	$237K
GENTLE DENTAL SHELBY PLLC	SHELBY TOWNSHIP	MI	$150K
WESTLAND- WAYNE P.C.	WESTLAND	MI	$70K
DETROIT - GRATIOT P.C.	DETROIT	MI	$24K
DENTAL ONE ASSOCIATES (WESTMINSTER) PC	WESTMINSTER	MD	$7K
DENTAL ONE ASSOCIATES WOODBRIDGE PC	WOODBRIDGE	VA	$3K
GERMANTOWN DENTAL ASSOCIATES	PHILADELPHIA	PA	$2K

Year	Claims	Total Paid
2020	1,907	$208K
2021	216	$26K

Code	Description	Claims	Beneficiaries	Total Paid
D7240	Removal of impacted tooth - completely bony	305	97	$82K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	236	236	$40K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	240	135	$38K
D0330	Panoramic radiographic image	508	508	$26K
D9310		599	599	$24K
D9222		235	235	$24K