RAPID CITY ORAL SURGERY PROF LLC
NPI: 1982384483
· RAPID CITY, SD 57701
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 07/19/2023
$282K
Total Medicaid Paid
Provider Details
| Authorized Official | MORGAN, ISAAC (PARTNER/TREASURER) |
| Parent Organization | BLACK HILLS ORAL AND MAXILLOFACIAL SURGERY, P.C. |
| NPI Enumeration Date | 07/19/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
275 |
$47K |
| 2024 |
1,246 |
$235K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
482 |
223 |
$95K |
| D7140 |
Extraction, erupted tooth or exposed root |
494 |
162 |
$65K |
| D9222 |
|
250 |
248 |
$64K |
| D7230 |
|
61 |
28 |
$23K |
| D7240 |
Removal of impacted tooth - completely bony |
42 |
16 |
$19K |
| D0140 |
Limited oral evaluation - problem focused |
137 |
137 |
$9K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
27 |
13 |
$6K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
28 |
28 |
$2K |