ORAL SURGERY ASSOCIATES OF NORTHERN VIRGINIA, LTD.
NPI: 1962693051
· ALEXANDRIA, VA 22304
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/05/2007
$737K
Total Medicaid Paid
Provider Details
| Authorized Official | PELL, JAMES (PRESIDENT) |
| NPI Enumeration Date | 08/05/2007 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
129 |
$11K |
| 2019 |
918 |
$85K |
| 2020 |
1,121 |
$89K |
| 2021 |
1,975 |
$182K |
| 2022 |
2,365 |
$243K |
| 2023 |
1,923 |
$127K |
| 2024 |
816 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,715 |
757 |
$231K |
| D9310 |
|
2,784 |
2,737 |
$206K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
2,116 |
799 |
$113K |
| D7240 |
Removal of impacted tooth - completely bony |
243 |
81 |
$67K |
| D9222 |
|
812 |
798 |
$43K |
| D0330 |
Panoramic radiographic image |
609 |
605 |
$33K |
| D7230 |
|
181 |
93 |
$31K |
| D9610 |
|
787 |
773 |
$13K |