GLEN BURNIE ORAL SURGERY ASSOCIATES PC
NPI: 1164896395
· GLEN BURNIE, MD 21061
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 11/27/2015
$1.30M
Total Medicaid Paid
Provider Details
| Authorized Official | SOURI, SAMAN (PRESIDENT) |
| NPI Enumeration Date | 11/27/2015 |
Related Entities
Other providers sharing the same authorized official: SOURI, SAMAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,148 |
$167K |
| 2022 |
1,843 |
$280K |
| 2023 |
2,987 |
$435K |
| 2024 |
2,785 |
$421K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,638 |
650 |
$483K |
| D7230 |
|
1,082 |
595 |
$245K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,121 |
1,113 |
$196K |
| D7140 |
Extraction, erupted tooth or exposed root |
1,019 |
346 |
$136K |
| D9222 |
|
1,121 |
1,113 |
$84K |
| D9310 |
|
1,269 |
1,251 |
$60K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
527 |
231 |
$54K |
| D0330 |
Panoramic radiographic image |
544 |
539 |
$24K |
| D0140 |
Limited oral evaluation - problem focused |
430 |
428 |
$20K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
12 |
12 |
$676.08 |