Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › YUMA › YUMA SONOMA ORAL SURGERY, P.C.

YUMA SONOMA ORAL SURGERY, P.C.

NPI: 1356096606 · YUMA, AZ 85364 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/15/2022

$450K
Total Medicaid Paid
4,854
Total Claims
3,201
Beneficiaries
10
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialJENSEN, DAYNE (OWNER)
NPI Enumeration Date02/15/2022

Related Entities

Other providers sharing the same authorized official: JENSEN, DAYNE

ProviderCityStateTotal Paid
CHEYENNE MOUNTAIN ORAL SURGERY PC COLORADO SPRINGS CO $15K
ALBUQUERQUE ORAL SURGERY, P.C. ALBUQUERQUE NM $4K
SJ ORAL SURGERY PC SOUTH JORDAN UT $2K
GILBERT SONOMA ORAL SURGERY, P.C. GILBERT AZ $2K
ST. GEORGE RED ROCKS PC ST GEORGE UT $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 356 $15K
2023 1,800 $156K
2024 2,698 $279K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 813 262 $220K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 1,394 481 $75K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 306 194 $47K
D9222 496 480 $37K
D0330 Panoramic radiographic image 715 708 $21K
D7230 89 56 $21K
D0140 Limited oral evaluation - problem focused 480 476 $18K
D9612 248 242 $6K
D9610 222 213 $4K
D0150 Comprehensive oral evaluation - new or established patient 91 89 $0.00