Home ›
TX ›
LONGVIEW ›
EAST TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC.
EAST TEXAS ORAL & MAXILLOFACIAL SURGERY ASSOCIATES INC.
NPI: 1952459307
· LONGVIEW, TX 75605
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/08/2007
$939K
Total Medicaid Paid
Provider Details
| Authorized Official | WILKS, CHARLOTTE (OFFICE MANAGER) |
| NPI Enumeration Date | 01/08/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
244 |
$37K |
| 2021 |
2,534 |
$312K |
| 2022 |
2,070 |
$246K |
| 2023 |
2,081 |
$233K |
| 2024 |
1,184 |
$110K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,628 |
834 |
$704K |
| D0330 |
Panoramic radiographic image |
1,375 |
1,348 |
$80K |
| D9222 |
|
1,270 |
1,261 |
$68K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,269 |
1,260 |
$47K |
| D0140 |
Limited oral evaluation - problem focused |
1,382 |
1,349 |
$25K |
| D7230 |
|
92 |
53 |
$15K |
| D0160 |
|
97 |
97 |
$1K |