Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › NY › POTSDAM › ST. LAWRENCE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC

ST. LAWRENCE ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES PC

NPI: 1851419287 · POTSDAM, NY 13676 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 03/26/2007

$157K
Total Medicaid Paid
1,111
Total Claims
1,053
Beneficiaries
5
Codes Billed
2018-02
First Month
2023-08
Last Month

Provider Details

Authorized OfficialBEUTTENMULLER, ERHARD (SECRETARY)
NPI Enumeration Date03/26/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 118 $11K
2019 165 $17K
2020 222 $19K
2021 228 $31K
2022 154 $45K
2023 224 $35K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 347 290 $124K
D9310 162 162 $18K
D0150 Comprehensive oral evaluation - new or established patient 546 545 $13K
D0330 Panoramic radiographic image 44 44 $2K
D1999 12 12 $0.00