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MEADOWS LUTCAVAGE SMITH VINTON FIDLER & LONG DDS PA
MEADOWS LUTCAVAGE SMITH VINTON FIDLER & LONG DDS PA
NPI: 1992754311
· GOLDSBORO, NC 27534
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/10/2006
$616K
Total Medicaid Paid
Provider Details
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
738 |
$59K |
| 2019 |
1,086 |
$93K |
| 2020 |
689 |
$58K |
| 2021 |
1,411 |
$136K |
| 2022 |
997 |
$76K |
| 2023 |
1,398 |
$119K |
| 2024 |
1,038 |
$76K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,983 |
622 |
$323K |
| D9420 |
|
1,552 |
1,497 |
$179K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,537 |
2,442 |
$99K |
| D7240 |
Removal of impacted tooth - completely bony |
32 |
12 |
$7K |
| D0330 |
Panoramic radiographic image |
195 |
187 |
$3K |
| D7140 |
Extraction, erupted tooth or exposed root |
29 |
13 |
$2K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
17 |
12 |
$1K |
| D9222 |
|
12 |
12 |
$933.60 |