SOUTHERN MAINE ORAL AND MAXILLOFACIAL SURGERY PA
NPI: 1831256338
· SOUTH PORTLAND, ME 04106
· 1223S0112X
$951K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
1,585 |
$148K |
| 2019 |
840 |
$82K |
| 2020 |
1,502 |
$121K |
| 2021 |
1,930 |
$134K |
| 2022 |
2,110 |
$229K |
| 2023 |
1,749 |
$164K |
| 2024 |
817 |
$72K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D9223 |
|
1,590 |
1,215 |
$322K |
| D7140 |
|
1,757 |
401 |
$163K |
| D7210 |
|
1,521 |
472 |
$161K |
| D9222 |
|
1,220 |
1,183 |
$160K |
| D0330 |
|
1,101 |
1,079 |
$54K |
| D0150 |
|
731 |
694 |
$39K |
| D0140 |
|
1,320 |
1,310 |
$32K |
| D9310 |
|
256 |
247 |
$14K |
| D7240 |
|
41 |
12 |
$6K |
| D9230 |
|
17 |
14 |
$640.39 |
| D1999 |
|
979 |
918 |
$0.00 |