BRISTOL ORAL SURGERY & IMPLANT CENTER
NPI: 1992122956
· BRISTOL, CT 06010
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/27/2014
$2.80M
Total Medicaid Paid
Provider Details
| Authorized Official | FENTON, DAVID (OWNER / PHYSICIAN) |
| NPI Enumeration Date | 03/27/2014 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
865 |
$115K |
| 2019 |
1,984 |
$311K |
| 2020 |
1,388 |
$197K |
| 2021 |
2,340 |
$375K |
| 2022 |
3,297 |
$521K |
| 2023 |
3,699 |
$647K |
| 2024 |
3,756 |
$629K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,520 |
734 |
$868K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,970 |
1,915 |
$704K |
| D7140 |
Extraction, erupted tooth or exposed root |
3,269 |
1,143 |
$349K |
| D0330 |
Panoramic radiographic image |
2,976 |
2,856 |
$240K |
| D9222 |
|
1,960 |
1,905 |
$229K |
| D9613 |
|
987 |
963 |
$198K |
| D0140 |
Limited oral evaluation - problem focused |
3,206 |
3,048 |
$141K |
| D7230 |
|
224 |
98 |
$45K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
133 |
129 |
$7K |
| D7220 |
|
27 |
14 |
$6K |
| D7280 |
|
20 |
13 |
$5K |
| D7111 |
|
19 |
12 |
$2K |
| D7283 |
|
18 |
13 |
$1K |