MARYLAND ORAL SURGERY ASSOCIATES, LLC
NPI: 1265845739
· ANNAPOLIS, MD 21401
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/03/2014
$1.27M
Total Medicaid Paid
Provider Details
| Authorized Official | NATHAN, GLENN (PRESIDENT) |
| NPI Enumeration Date | 06/03/2014 |
Related Entities
Other providers sharing the same authorized official: NATHAN, GLENN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,111 |
$157K |
| 2019 |
1,298 |
$165K |
| 2020 |
1,047 |
$148K |
| 2021 |
1,697 |
$248K |
| 2022 |
1,627 |
$242K |
| 2023 |
1,114 |
$177K |
| 2024 |
874 |
$138K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,536 |
817 |
$701K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,468 |
1,429 |
$268K |
| D9222 |
|
1,463 |
1,429 |
$104K |
| D9310 |
|
1,775 |
1,750 |
$83K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
523 |
225 |
$53K |
| D0330 |
Panoramic radiographic image |
880 |
867 |
$38K |
| D7230 |
|
123 |
65 |
$27K |