UGALDE, CARLOS
NPI: 1831311000
· PORTLAND, OR 97225
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 05/03/2007
$2.27M
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
33 |
$3K |
| 2019 |
168 |
$27K |
| 2020 |
414 |
$84K |
| 2021 |
867 |
$165K |
| 2022 |
1,418 |
$322K |
| 2023 |
2,520 |
$611K |
| 2024 |
4,172 |
$1.06M |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
4,879 |
1,107 |
$1.41M |
| D0140 |
Limited oral evaluation - problem focused |
1,936 |
1,837 |
$195K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
719 |
504 |
$194K |
| D9222 |
|
548 |
502 |
$149K |
| D7230 |
|
334 |
176 |
$134K |
| D9612 |
|
609 |
560 |
$88K |
| D0367 |
|
280 |
260 |
$57K |
| D0330 |
Panoramic radiographic image |
237 |
206 |
$25K |
| D7240 |
Removal of impacted tooth - completely bony |
50 |
25 |
$21K |