ORAL AND MAXILLOFACIAL SURGERY ASSOC.PA
NPI: 1972718898
· SPARTANBURG, SC 29307
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/14/2007
$590K
Total Medicaid Paid
Provider Details
| Authorized Official | COX, CHARLES (ORAL SURGEON) |
| NPI Enumeration Date | 05/14/2007 |
Related Entities
Other providers sharing the same authorized official: COX, CHARLES
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
726 |
$105K |
| 2019 |
1,055 |
$103K |
| 2020 |
617 |
$83K |
| 2021 |
850 |
$119K |
| 2022 |
1,158 |
$177K |
| 2023 |
195 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,596 |
493 |
$408K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
841 |
805 |
$67K |
| D9222 |
|
817 |
808 |
$66K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
963 |
957 |
$36K |
| D0140 |
Limited oral evaluation - problem focused |
154 |
151 |
$5K |
| D7230 |
|
22 |
13 |
$5K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
144 |
40 |
$2K |
| D0330 |
Panoramic radiographic image |
25 |
24 |
$347.23 |
| D9612 |
|
39 |
38 |
$0.00 |