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DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC
NPI: 1992766737
· HURRICANE, WV 25526
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/31/2006
$534K
Total Medicaid Paid
Provider Details
| Authorized Official | COYNER, LESLEY (CREDENTIALING) |
| NPI Enumeration Date | 03/31/2006 |
Related Entities
Other providers sharing the same authorized official: COYNER, LESLEY
| Provider | City | State | Total Paid |
|---|
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
HUNTINGTON |
WV |
$2.15M |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$974K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$789K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PARKERSBURG |
WV |
$582K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$467K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
CHARLESTON |
WV |
$179K |
| INDIAN LAND ORAL & FACIAL SURGERY LLC |
FORT MILL |
SC |
$20K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
BECKLEY |
WV |
$18K |
| DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC |
PRINCETON |
WV |
$18K |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
659 |
$71K |
| 2019 |
1,288 |
$139K |
| 2020 |
2,378 |
$276K |
| 2021 |
188 |
$8K |
| 2023 |
29 |
$648.50 |
| 2024 |
344 |
$41K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
2,678 |
551 |
$349K |
| D9222 |
|
678 |
646 |
$85K |
| D0140 |
Limited oral evaluation - problem focused |
978 |
936 |
$51K |
| D0330 |
Panoramic radiographic image |
311 |
297 |
$21K |
| D7240 |
Removal of impacted tooth - completely bony |
56 |
16 |
$15K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
185 |
182 |
$13K |