Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › TX › BEAUMONT › GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA

GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA

NPI: 1790199461 · BEAUMONT, TX 77702 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 06/20/2014

$187K
Total Medicaid Paid
2,340
Total Claims
1,763
Beneficiaries
6
Codes Billed
2021-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialRAVI, PRASHANTH (DIRECTOR)
NPI Enumeration Date06/20/2014

Related Entities

Other providers sharing the same authorized official: RAVI, PRASHANTH

ProviderCityStateTotal Paid
GREATER HOUSTON ORAL AND FACIAL SURGERY,PA PASADENA TX $2.71M
UR SMILE DENTAL ON HWY 6 PLLC HOUSTON TX $34K
UR SMILE DENTAL ON FRY RD PLLC HOUSTON TX $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 226 $14K
2022 874 $67K
2023 1,040 $98K
2024 200 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 386 128 $107K
D0330 Panoramic radiographic image 507 504 $31K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 516 212 $22K
D9222 216 212 $12K
D0140 Limited oral evaluation - problem focused 542 536 $10K
D9612 173 171 $6K