MID-MARYLAND ORAL AND MAXILLOFACIAL SURGERY PA
NPI: 1710950399
· FREDERICK, MD 21702
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 02/13/2006
$231K
Total Medicaid Paid
Provider Details
| Authorized Official | TAN, PETER (PRESIDENT) |
| NPI Enumeration Date | 02/13/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2019 |
17 |
$816.00 |
| 2020 |
155 |
$18K |
| 2021 |
105 |
$7K |
| 2022 |
26 |
$1K |
| 2023 |
318 |
$31K |
| 2024 |
1,612 |
$174K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
380 |
379 |
$59K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
511 |
194 |
$55K |
| D7240 |
Removal of impacted tooth - completely bony |
168 |
65 |
$49K |
| D9222 |
|
380 |
379 |
$28K |
| D9310 |
|
433 |
430 |
$20K |
| D0330 |
Panoramic radiographic image |
340 |
339 |
$15K |
| D7230 |
|
21 |
13 |
$5K |