Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC

NPI: 1275313744 · PARKER, CO 80138 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/03/2023

$182K
Total Medicaid Paid
1,178
Total Claims
944
Beneficiaries
6
Codes Billed
2023-12
First Month
2024-12
Last Month

Provider Details

Authorized OfficialSUNDIAM, NICK (CREDENTIALING MANAGER)
Parent OrganizationASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC
NPI Enumeration Date10/03/2023

Related Entities

Other providers sharing the same authorized official: SUNDIAM, NICK

ProviderCityStateTotal Paid
ASSOCIATES IN MAXILLOFACIAL AND ORAL SURGERY, PLLC CASTLE ROCK CO $27K
PRESTIGE DENTAL COLORADO SPRINGS, PLLC COLORADO SPRINGS CO $6K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 13 $493.00
2024 1,165 $181K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 167 167 $51K
D7240 Removal of impacted tooth - completely bony 139 51 $40K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 202 58 $34K
D0383 165 164 $23K
D9222 167 167 $19K
D0140 Limited oral evaluation - problem focused 338 337 $15K