MARYLAND ORAL SURGERY ASSOCIATES, LLC
NPI: 1033531280
· GAMBRILLS, MD 21054
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/07/2014
$1.17M
Total Medicaid Paid
Provider Details
| Authorized Official | NATHAN, GLENN (PRESIDENT) |
| NPI Enumeration Date | 01/07/2014 |
Related Entities
Other providers sharing the same authorized official: NATHAN, GLENN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
970 |
$146K |
| 2019 |
1,856 |
$269K |
| 2020 |
558 |
$82K |
| 2021 |
809 |
$106K |
| 2022 |
1,839 |
$288K |
| 2023 |
1,214 |
$177K |
| 2024 |
632 |
$101K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7240 |
Removal of impacted tooth - completely bony |
2,352 |
751 |
$654K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,234 |
1,214 |
$246K |
| D9222 |
|
1,236 |
1,216 |
$88K |
| D9310 |
|
1,686 |
1,657 |
$80K |
| D0330 |
Panoramic radiographic image |
904 |
882 |
$38K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
326 |
139 |
$33K |
| D7230 |
|
140 |
63 |
$31K |