Medicaid Provider Spending

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

WESTERN COSMETIC ORAL AND MAXILLOFACIAL SURGERY CLINIC

NPI: 1437301140 · MAYAGUEZ, P.R. 00680 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/14/2008

$24K
Total Medicaid Paid
545
Total Claims
458
Beneficiaries
5
Codes Billed
2019-04
First Month
2024-09
Last Month

Provider Details

Authorized OfficialLUCIANO, OSCAR (PRESIDENT)
NPI Enumeration Date10/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 153 $5K
2021 222 $11K
2022 93 $5K
2023 47 $2K
2024 30 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0160 320 253 $11K
D9222 60 60 $6K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 39 39 $5K
D0330 Panoramic radiographic image 85 65 $2K
D1999 41 41 $333.73