Dental
Western Cosmetic Oral and Maxillofacial Surgery Clinic
Western Cosmetic Oral and Maxillofacial Surgery Clinic was paid $24K by Medicaid between Apr 2019 and Sep 2024, across 5 billing codes. Its largest line is D0160, — 45% of everything it billed.
33Billing provider infoWESTERN COSMETIC ORAL AND MAXILLOFACIAL SURGERY CLINIC
MAYAGUEZ, P.R. 00680
MAYAGUEZ, P.R. 00680
33aNPI1437301140assigned 10/14/2008
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$24K
24GClaims545
24DCodes billed5
24AFirst – last monthApr 2019 – Sep 2024
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 153 | $5K | |
| 2021 | 222 | $11K | |
| 2022 | 93 | $5K | |
| 2023 | 47 | $2K | |
| 2024incomplete | 30 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0160 | 45% | 320 | 253 | $11K | |
| D9222 | 23% | 60 | 60 | $6K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 21% | 39 | 39 | $5K |
| D0330 | Panoramic radiographic image | 9.2% | 85 | 65 | $2K |
| D1999 | 1.4% | 41 | 41 | $333.73 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialLUCIANO, OSCAR (PRESIDENT)