Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › DC › WASHINGTON › CAPITOL ORAL, FACIAL & IMPLANT SURGERY PLLC

CAPITOL ORAL, FACIAL & IMPLANT SURGERY PLLC

NPI: 1770082125 · WASHINGTON, DC 20036 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/12/2018

$138K
Total Medicaid Paid
1,460
Total Claims
1,210
Beneficiaries
5
Codes Billed
2018-11
First Month
2020-09
Last Month

Provider Details

Authorized OfficialSHIN, THOMAS (PARTNER)
NPI Enumeration Date02/12/2018

Related Entities

Other providers sharing the same authorized official: SHIN, THOMAS

ProviderCityStateTotal Paid
CAPITOL OMS PLLC WASHINGTON DC $1.67M
TEEHO SPECIALTY GROUP LLC WASHINGTON DC $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $2K
2019 660 $57K
2020 774 $79K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 403 219 $57K
D9310 577 552 $49K
D0330 Panoramic radiographic image 323 307 $20K
D7250 32 12 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 125 120 $5K