Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

GREATER HOUSTON ORAL AND FACIAL SURGERY,PA

NPI: 1801288089 · PASADENA, TX 77504 · Ambulatory Surgical Clinic/Center · NPI assigned 02/25/2015

$2.71M
Total Medicaid Paid
28,020
Total Claims
18,481
Beneficiaries
8
Codes Billed
2020-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRAVI, PRASHANTH (PRESIDENT)
NPI Enumeration Date02/25/2015

Related Entities

Other providers sharing the same authorized official: RAVI, PRASHANTH

ProviderCityStateTotal Paid
GREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA BEAUMONT TX $187K
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
2020 881 $81K
2021 6,445 $640K
2022 7,481 $736K
2023 8,306 $820K
2024 4,907 $435K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 6,558 2,336 $1.82M
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 7,912 2,924 $274K
D0330 Panoramic radiographic image 4,080 4,044 $243K
D9222 2,973 2,939 $166K
D0140 Limited oral evaluation - problem focused 4,177 4,142 $77K
D9612 1,825 1,800 $62K
D7230 323 198 $54K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 172 98 $17K