UNIVERSITY ORAL & MAXILLOFACIAL SURGEONS
NPI: 1962523100
· OKLAHOMA CITY, OK 73117
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 04/03/2007
$981K
Total Medicaid Paid
Provider Details
| Authorized Official | NICHOLS, LISA (OFFICE MANAGER) |
| NPI Enumeration Date | 04/03/2007 |
Related Entities
Other providers sharing the same authorized official: NICHOLS, LISA
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
1,382 |
$79K |
| 2019 |
852 |
$33K |
| 2020 |
775 |
$33K |
| 2021 |
2,618 |
$178K |
| 2022 |
4,043 |
$332K |
| 2023 |
3,260 |
$255K |
| 2024 |
932 |
$71K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7140 |
Extraction, erupted tooth or exposed root |
4,233 |
805 |
$291K |
| D7240 |
Removal of impacted tooth - completely bony |
804 |
332 |
$174K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,246 |
460 |
$153K |
| D0140 |
Limited oral evaluation - problem focused |
4,742 |
4,717 |
$143K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
613 |
611 |
$77K |
| D9222 |
|
850 |
843 |
$69K |
| D0330 |
Panoramic radiographic image |
1,323 |
1,323 |
$64K |
| D7230 |
|
51 |
26 |
$9K |