BRIDGE SURGICAL ARTS CORP
NPI: 1326794041
· COLUMBIA, MD 21046
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 02/22/2022
$172K
Total Medicaid Paid
Provider Details
| Authorized Official | TAMIM, AHMED (OWNER) |
| NPI Enumeration Date | 02/22/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2023 |
98 |
$13K |
| 2024 |
826 |
$160K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
367 |
109 |
$109K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
179 |
179 |
$40K |
| D9222 |
|
179 |
179 |
$14K |
| D0140 |
Limited oral evaluation - problem focused |
89 |
89 |
$4K |
| D9310 |
|
64 |
64 |
$3K |
| D0330 |
Panoramic radiographic image |
46 |
46 |
$2K |