Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CT › MONROE › PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC

PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC

NPI: 1851958029 · MONROE, CT 06468 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/23/2019

$33K
Total Medicaid Paid
213
Total Claims
207
Beneficiaries
3
Codes Billed
2023-11
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBANGIYEV, SIMON (PRESIDENT)
Parent OrganizationPREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
NPI Enumeration Date05/23/2019

Related Entities

Other providers sharing the same authorized official: BANGIYEV, SIMON

ProviderCityStateTotal Paid
PREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC STRATFORD CT $6.72M
SIMON BANGIYEV DDS, MD, PC DBA PREMIER ORAL SURGERY NORWALK CT $5.26M
SIMON BANGIYEV DDS, MD, PC RICHMOND HILL NY $137K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 58 $9K
2024 155 $24K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 63 62 $22K
D9222 62 61 $7K
D0140 Limited oral evaluation - problem focused 88 84 $4K