BOUCREE, STANLEY
NPI: 1063532059
· SILVER SPRING, MD 20910
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/31/2007
$315K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,197 |
$122K |
| 2019 |
997 |
$92K |
| 2020 |
314 |
$30K |
| 2021 |
492 |
$34K |
| 2022 |
96 |
$9K |
| 2023 |
186 |
$19K |
| 2024 |
110 |
$9K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
1,035 |
571 |
$136K |
| D9310 |
|
1,598 |
1,478 |
$129K |
| D0330 |
Panoramic radiographic image |
691 |
639 |
$41K |
| D7250 |
|
21 |
12 |
$5K |
| D7286 |
|
13 |
12 |
$2K |
| D0140 |
Limited oral evaluation - problem focused |
19 |
18 |
$770.00 |
| D0170 |
|
15 |
15 |
$593.50 |