GORDON, MATHEW
NPI: 1265591382
· SAN ANTONIO, TX 78212
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 12/06/2006
$133K
Total Medicaid Paid
1,540
Beneficiary Records
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
130 |
$13K |
| 2021 |
746 |
$64K |
| 2022 |
518 |
$32K |
| 2023 |
405 |
$22K |
| 2024 |
45 |
$2K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
282 |
100 |
$80K |
| D9243 |
|
398 |
283 |
$15K |
| D9239 |
|
284 |
283 |
$15K |
| D0140 |
Limited oral evaluation - problem focused |
538 |
534 |
$10K |
| D9612 |
|
283 |
282 |
$10K |
| D0330 |
Panoramic radiographic image |
59 |
58 |
$4K |