ORAL SURGERY CENTER OF KOKOMO LLC
NPI: 1992124879
· KOKOMO, IN 46902
· Oral and Maxillofacial Pathology Dentist
· NPI assigned 04/08/2014
$650K
Total Medicaid Paid
Provider Details
| Authorized Official | LADD, JOHN (OWNER) |
| NPI Enumeration Date | 04/08/2014 |
Related Entities
Other providers sharing the same authorized official: LADD, JOHN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
25 |
$882.48 |
| 2020 |
204 |
$22K |
| 2021 |
336 |
$22K |
| 2022 |
1,457 |
$168K |
| 2023 |
1,861 |
$248K |
| 2024 |
1,434 |
$190K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,034 |
430 |
$310K |
| D7240 |
Removal of impacted tooth - completely bony |
744 |
261 |
$239K |
| D0140 |
Limited oral evaluation - problem focused |
1,833 |
1,693 |
$73K |
| D0330 |
Panoramic radiographic image |
409 |
371 |
$19K |
| D9248 |
|
119 |
109 |
$6K |
| D9243 |
|
103 |
16 |
$2K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
26 |
26 |
$630.23 |
| D0220 |
Intraoral - periapical first radiographic image |
28 |
27 |
$361.63 |
| D1999 |
|
21 |
19 |
$0.00 |