Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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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
33aNPI1437301140assigned 10/14/2008
28Total paid$24K
24GClaims545
24DCodes billed5
24AFirst – last monthApr 2019 – Sep 2024
Box 24A · Dates of service

Paid by month

$0$2.0K$4.0K$6.0K2018201920202021202220232024
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
YearClaimsPaid
2019153$5K
2021222$11K
202293$5K
202347$2K
2024incomplete30$1K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
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)