MARYLAND ORAL SURGERY ASSOCIATES, LLC
NPI: 1164848370
· FREDERICK, MD 21702
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/12/2014
$143K
Total Medicaid Paid
Provider Details
| Authorized Official | NATHAN, GLENN (PRESIDENT) |
| NPI Enumeration Date | 03/12/2014 |
Related Entities
Other providers sharing the same authorized official: NATHAN, GLENN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2021 |
25 |
$1K |
| 2022 |
464 |
$56K |
| 2023 |
551 |
$85K |
| 2024 |
12 |
$576.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7240 |
Removal of impacted tooth - completely bony |
285 |
86 |
$81K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
203 |
195 |
$31K |
| D9222 |
|
203 |
195 |
$15K |
| D9310 |
|
291 |
283 |
$13K |
| D0330 |
Panoramic radiographic image |
70 |
67 |
$3K |