Medicaid Provider Spending

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

WISCO ORAL SURGERY LLC

NPI: 1407535214 · AIBONITO, PR 00705 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/18/2023

$128K
Total Medicaid Paid
2,039
Total Claims
990
Beneficiaries
7
Codes Billed
2024-06
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWISCOVITCH TURNEY, ANDRES (PRESIDENT)
NPI Enumeration Date07/18/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 2,039 $128K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 433 149 $43K
D7240 Removal of impacted tooth - completely bony 139 29 $27K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 306 112 $19K
D9222 207 113 $18K
D0160 304 209 $11K
D1999 579 335 $8K
D0330 Panoramic radiographic image 71 43 $2K