GREATER WASHINGTON ORAL AND MAXILLOFACIAL SURGERY
NPI: 1710552260
· FREDERICKSBURG, VA 22407
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 05/26/2021
$472K
Total Medicaid Paid
Provider Details
| Authorized Official | HARON, IBRAHIM (OWNER/DENTIST) |
| NPI Enumeration Date | 05/26/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
1,661 |
$127K |
| 2022 |
3,204 |
$315K |
| 2023 |
1,081 |
$29K |
| 2024 |
361 |
$0.00 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
920 |
417 |
$118K |
| D9310 |
|
1,126 |
1,073 |
$84K |
| D7240 |
Removal of impacted tooth - completely bony |
325 |
114 |
$78K |
| D0330 |
Panoramic radiographic image |
1,424 |
1,377 |
$70K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
959 |
455 |
$45K |
| D9222 |
|
497 |
482 |
$25K |
| D7250 |
|
156 |
71 |
$20K |
| D9230 |
Inhalation of nitrous oxide / analgesia, anxiolysis |
460 |
445 |
$15K |
| D7230 |
|
66 |
40 |
$9K |
| D0140 |
Limited oral evaluation - problem focused |
314 |
299 |
$8K |
| D9610 |
|
60 |
60 |
$0.00 |