Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › HI › KAPOLEI › ISLAND ORAL AND MAXILLOFACIAL SURGERY, L.L.C.

ISLAND ORAL AND MAXILLOFACIAL SURGERY, L.L.C.

NPI: 1093374696 · KAPOLEI, HI 96707 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/07/2019

$171K
Total Medicaid Paid
1,688
Total Claims
1,341
Beneficiaries
5
Codes Billed
2019-08
First Month
2021-11
Last Month

Provider Details

Authorized OfficialABRAHAM, MATTHEW (OWNER)
NPI Enumeration Date06/07/2019

Related Entities

Other providers sharing the same authorized official: ABRAHAM, MATTHEW

ProviderCityStateTotal Paid
MATTHEW MACK ABRAHAM, LLC LAFAYETTE LA $1.25M
SKYLINK MEDICAL INC LAFAYETTE LA $75K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 307 $32K
2020 826 $92K
2021 555 $47K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 668 349 $101K
D9310 696 695 $42K
D7230 67 40 $17K
D0330 Panoramic radiographic image 225 225 $10K
D0220 Intraoral - periapical first radiographic image 32 32 $532.48