Medicaid Provider Spending

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

CIRUGIA ORAL Y MAXILOFACIAL EL SENORIAL

NPI: 1417318536 · SAN JUAN, PR 00926 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 03/17/2016

$324K
Total Medicaid Paid
5,882
Total Claims
4,895
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCOLON NIEVES, RAUL (OWNER)
NPI Enumeration Date03/17/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 886 $50K
2019 69 $3K
2021 308 $13K
2022 1,199 $50K
2023 1,638 $107K
2024 1,782 $101K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,097 655 $110K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 681 514 $62K
D0160 1,367 1,333 $51K
D9222 405 377 $40K
D1999 1,967 1,740 $28K
D7240 Removal of impacted tooth - completely bony 103 39 $21K
D0330 Panoramic radiographic image 227 225 $7K
D7230 35 12 $4K