Medicaid Provider Spending

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

BANGIYEV, SIMON

NPI: 1366671281 · NORWALK, CT 06851 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/13/2009

$148K
Total Medicaid Paid
2,272
Total Claims
1,919
Beneficiaries
6
Codes Billed
2019-09
First Month
2022-03
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 131 $7K
2020 637 $39K
2021 1,195 $79K
2022 309 $22K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 718 366 $57K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 240 240 $36K
D9222 240 240 $19K
D0330 Panoramic radiographic image 485 485 $18K
D9310 517 517 $17K
D9610 72 71 $942.20