Medicaid Provider Spending

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

EL PASO ORAL & FACIAL SURGEONS, PLLC

NPI: 1326423468 · EL PASO, TX 79936 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/29/2015

$42K
Total Medicaid Paid
622
Total Claims
531
Beneficiary Records
7
Codes Billed
2020-12
First Month
2021-04
Last Month

Provider Details

Authorized OfficialPETERSEN, CLARK (BUSINESS MANAGER)
NPI Enumeration Date07/29/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 86 $2K
2021 536 $40K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D7240 Removal of impacted tooth - completely bony 106 29 $28K
D0330 Panoramic radiographic image 136 136 $8K
D0140 Limited oral evaluation - problem focused 147 147 $3K
D9222 34 33 $2K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 45 33 $2K
D9612 20 19 $465.79
D0602 134 134 $0.00