Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC

NPI: 1104606664 · CASTLE ROCK, CO 80108 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/03/2023

$27K
Total Medicaid Paid
267
Total Claims
246
Beneficiaries
5
Codes Billed
2024-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialSUNDIAM, NICK (CREDENTIALING MANAGER)
Parent OrganizationASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
NPI Enumeration Date10/03/2023

Related Entities

Other providers sharing the same authorized official: SUNDIAM, NICK

ProviderCityStateTotal Paid
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC PARKER CO $182K
PRESTIGE DENTAL COLORADO SPRINGS, PLLC COLORADO SPRINGS CO $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 267 $27K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 46 46 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 34 13 $6K
D0140 Limited oral evaluation - problem focused 129 129 $6K
D9222 46 46 $5K
D0383 12 12 $2K