EDGAR H PEACOCK, JR, DDS, PA
NPI: 1952587644
· COLUMBIA, SC 29204
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/14/2008
$544K
Total Medicaid Paid
Provider Details
| Authorized Official | PEACOCK, EDGAR (PRESIDENT) |
| NPI Enumeration Date | 01/14/2008 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
4,214 |
$544K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,568 |
720 |
$209K |
| D7230 |
|
490 |
247 |
$116K |
| D7240 |
Removal of impacted tooth - completely bony |
381 |
214 |
$101K |
| D9222 |
|
256 |
255 |
$23K |
| D0140 |
Limited oral evaluation - problem focused |
583 |
574 |
$22K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
246 |
241 |
$22K |
| D0330 |
Panoramic radiographic image |
443 |
443 |
$22K |
| D7250 |
|
122 |
72 |
$17K |
| D7140 |
Extraction, erupted tooth or exposed root |
125 |
71 |
$11K |