EAST LOUISVILLE ORAL SURGERY AND DENTAL IMPLANTS PLC
NPI: 1972782407
· LOUISVILLE, KY 40243
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 11/01/2007
$231K
Total Medicaid Paid
Provider Details
| Authorized Official | LIVESAY, KENNETH (ORAL SURGEON) |
| NPI Enumeration Date | 11/01/2007 |
Related Entities
Other providers sharing the same authorized official: LIVESAY, KENNETH
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
1,423 |
$101K |
| 2021 |
1,770 |
$129K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,556 |
361 |
$128K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
506 |
295 |
$42K |
| D9222 |
|
312 |
307 |
$24K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
410 |
402 |
$20K |
| D9610 |
|
278 |
274 |
$11K |
| D7140 |
Extraction, erupted tooth or exposed root |
91 |
27 |
$4K |
| D0330 |
Panoramic radiographic image |
27 |
27 |
$1K |
| D0140 |
Limited oral evaluation - problem focused |
13 |
13 |
$386.10 |