Medicaid Provider Spending

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

ORAL-FACIAL SURGICAL ARTS PA

NPI: 1205901055 · CLERMONT, FL 34711 · Dental Clinic/Center · NPI assigned 11/21/2006

$56K
Total Medicaid Paid
1,173
Total Claims
1,074
Beneficiaries
7
Codes Billed
2020-01
First Month
2020-07
Last Month

Provider Details

Authorized OfficialACHONG, RONALD (PRESIDENT)
NPI Enumeration Date11/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 1,173 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 401 392 $26K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 132 66 $21K
D0140 Limited oral evaluation - problem focused 136 134 $9K
D9310 211 206 $786.24
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 122 106 $65.00
D1999 65 65 $0.00
D9222 106 105 $0.00