Clinic
Sonoma Oral & Facial Surgery, PLLC
Sonoma Oral & Facial Surgery, PLLC was paid $3K by Medicaid between Feb 2020 and Mar 2021, across 5 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 62% of everything it billed.
33Billing provider infoSONOMA ORAL & FACIAL SURGERY, PLLC
GILBERT, AZ 85297
GILBERT, AZ 85297
33aNPI1477063881assigned 10/11/2017
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$3K
24GClaims254
24DCodes billed5
24AFirst – last monthFeb 2020 – Mar 2021
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 | |
|---|---|---|---|
| 2020 | 239 | $3K | |
| 2021 | 15 | $278.42 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 62% | 103 | 81 | $2K |
| D0330 | Panoramic radiographic image | 20% | 69 | 65 | $666.06 |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 57 | 53 | $443.33 |
| D9222 | 3.0% | 13 | 13 | $96.97 | |
| D9610 | 1.6% | 12 | 12 | $50.88 |
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 officialSPANGANBERG, PETER (DDS/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Advanced Implant and Oral Surgery | Yuma, AZ | $29K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.