RANDALL W HALLIDAY DDS INC
NPI: 1932488681
· SAN BERNARDINO, CA 92404
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/12/2011
$1.37M
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: HALLIDAY, RANDALL
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,608 |
$468K |
| 2019 |
3,567 |
$374K |
| 2020 |
3,369 |
$331K |
| 2021 |
1,945 |
$193K |
| 2022 |
32 |
$2K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,905 |
831 |
$345K |
| D7240 |
Removal of impacted tooth - completely bony |
1,026 |
487 |
$237K |
| D9220 |
|
964 |
962 |
$198K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,470 |
2,468 |
$147K |
| D7230 |
|
653 |
363 |
$123K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
519 |
483 |
$80K |
| D0330 |
Panoramic radiographic image |
2,494 |
2,486 |
$72K |
| D9610 |
|
1,476 |
1,460 |
$61K |
| D9222 |
|
483 |
483 |
$57K |
| D9221 |
|
474 |
383 |
$40K |
| D7220 |
|
57 |
38 |
$8K |