Medicaid Provider Spending

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

CIRUGIA ORAL Y MAXILOFACIAL METROPOLITANA C S P

NPI: 1548305626 · SAN JUAN, PR 00923 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/20/2007

$36K
Total Medicaid Paid
902
Total Claims
691
Beneficiary Records
5
Codes Billed
2018-01
First Month
2024-03
Last Month

Provider Details

Authorized OfficialGUERRERO, LIDIA (VICE-PRESIDENT)
NPI Enumeration Date02/20/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 834 $34K
2019 45 $2K
2024 23 $319.22

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0160 587 536 $19K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 160 90 $10K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 118 39 $7K
D0330 Panoramic radiographic image 14 14 $398.90
D1999 23 12 $319.22