COASTAL ORAL MAXILLOFACIAL SURGERY & IMPLANTS, INC.
NPI: 1982973954
· WILLIAMSBURG, VA 23188
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/21/2011
$202K
Total Medicaid Paid
Provider Details
| Authorized Official | KIELY, KEVIN (OWNER/ORAL SURGEON) |
| NPI Enumeration Date | 12/21/2011 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
221 |
$26K |
| 2019 |
209 |
$22K |
| 2020 |
161 |
$18K |
| 2021 |
148 |
$17K |
| 2022 |
628 |
$79K |
| 2023 |
662 |
$41K |
| 2024 |
14 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
525 |
147 |
$110K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
622 |
196 |
$37K |
| D9310 |
|
432 |
432 |
$34K |
| D9222 |
|
185 |
182 |
$11K |
| D0330 |
Panoramic radiographic image |
177 |
177 |
$10K |
| D9630 |
|
102 |
100 |
$2K |