Medicaid Provider Spending

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

MASSAPEQUA ORAL & MAXILLOFACIAL ASSOCIATES LLP

NPI: 1174637284 · MASSAPEQUA PARK, NY 11762 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/18/2006

$7K
Total Medicaid Paid
124
Total Claims
101
Beneficiaries
6
Codes Billed
2020-06
First Month
2020-09
Last Month

Provider Details

Authorized OfficialSCHARFENBERGER, PETER (PRESIDENT)
NPI Enumeration Date08/18/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 124 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 40 25 $3K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 20 14 $2K
D9222 14 14 $1K
D0330 Panoramic radiographic image 26 24 $770.00
D9310 12 12 $360.00
D0140 Limited oral evaluation - problem focused 12 12 $112.00