Medicaid Provider Spending

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

ORALSURGERYPROS, LLC

NPI: 1609474923 · TUCSON, AZ 85706 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/09/2020

$24K
Total Medicaid Paid
1,833
Total Claims
1,669
Beneficiary Records
6
Codes Billed
2020-10
First Month
2024-08
Last Month

Provider Details

Authorized OfficialRODRIGUEZ, BRIANA (OFFICE MANAGER)
NPI Enumeration Date10/09/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 141 $13K
2021 331 $11K
2022 353 $0.00
2023 511 $0.00
2024 497 $0.00

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0140 Limited oral evaluation - problem focused 1,174 1,144 $9K
D7240 Removal of impacted tooth - completely bony 34 12 $8K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 60 24 $3K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 161 94 $2K
D0330 Panoramic radiographic image 380 371 $2K
D9222 24 24 $938.57