Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MA › MEDFORD › C.M.F.-CRANIO-MAXILLOFACIAL SURGERY ASSOCIATES

C.M.F.-CRANIO-MAXILLOFACIAL SURGERY ASSOCIATES

NPI: 1750844080 · MEDFORD, MA 02155 · Ambulatory Surgical Clinic/Center · NPI assigned 04/12/2019

$210K
Total Medicaid Paid
2,759
Total Claims
1,857
Beneficiaries
8
Codes Billed
2019-06
First Month
2021-10
Last Month

Provider Details

Authorized OfficialOSBORN, TIMOTHY (OWNER)
NPI Enumeration Date04/12/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 1,328 $101K
2020 1,270 $101K
2021 161 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 634 191 $57K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 284 122 $38K
D0330 Panoramic radiographic image 485 466 $31K
D7230 104 40 $26K
D0150 Comprehensive oral evaluation - new or established patient 558 541 $23K
D7140 Extraction, erupted tooth or exposed root 278 107 $20K
D0140 Limited oral evaluation - problem focused 345 323 $13K
D0120 Periodic oral evaluation - established patient 71 67 $2K