Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › GILBERT › GILBERT SONOMA ORAL SURGERY, P.C.

GILBERT SONOMA ORAL SURGERY, P.C.

NPI: 1083369334 · GILBERT, AZ 85297 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/15/2022

$2K
Total Medicaid Paid
160
Total Claims
150
Beneficiaries
2
Codes Billed
2024-03
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, DAYNE (OWNER)
NPI Enumeration Date02/15/2022

Related Entities

Other providers sharing the same authorized official: JENSEN, DAYNE

ProviderCityStateTotal Paid
YUMA SONOMA ORAL SURGERY, P.C. YUMA AZ $450K
CHEYENNE MOUNTAIN ORAL SURGERY PC COLORADO SPRINGS CO $15K
ALBUQUERQUE ORAL SURGERY, P.C. ALBUQUERQUE NM $4K
SJ ORAL SURGERY PC SOUTH JORDAN UT $2K
ST. GEORGE RED ROCKS PC ST GEORGE UT $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 160 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 80 77 $967.26
D0150 Comprehensive oral evaluation - new or established patient 80 73 $742.26