Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › NEW YORK › MADISON AVENUE ORAL SURGERY AND IMPLANT CENTER, PC

MADISON AVENUE ORAL SURGERY AND IMPLANT CENTER, PC

NPI: 1700179124 · NEW YORK, NY 10017 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/18/2011

$191K
Total Medicaid Paid
3,125
Total Claims
3,042
Beneficiaries
8
Codes Billed
2018-01
First Month
2020-02
Last Month

Provider Details

Authorized OfficialDATSON, MOSES (OWNER)
NPI Enumeration Date05/18/2011

Related Entities

Other providers sharing the same authorized official: DATSON, MOSES

ProviderCityStateTotal Paid
ADVANCED ORAL SURGERY OF BROOKLYN, PLLC BROOKLYN NY $634K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,124 $141K
2019 778 $37K
2020 223 $12K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 557 504 $66K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 450 430 $48K
D0330 Panoramic radiographic image 898 897 $26K
D9222 274 266 $19K
D0160 539 538 $13K
D9310 382 382 $11K
D7240 Removal of impacted tooth - completely bony 13 13 $5K
D7230 12 12 $3K