GLEN BURNIE ORAL SURGERY ASSOCIATES PC
NPI: 1851968549
· ELKTON, MD 21921
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 06/10/2021
$465K
Total Medicaid Paid
Provider Details
| Authorized Official | SOURI, SAMAN (PRESIDENT) |
| NPI Enumeration Date | 06/10/2021 |
Related Entities
Other providers sharing the same authorized official: SOURI, SAMAN
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
385 |
$38K |
| 2023 |
1,467 |
$147K |
| 2024 |
2,416 |
$280K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
1,868 |
381 |
$251K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
351 |
342 |
$62K |
| D7240 |
Removal of impacted tooth - completely bony |
99 |
38 |
$29K |
| D0140 |
Limited oral evaluation - problem focused |
542 |
541 |
$26K |
| D9222 |
|
338 |
329 |
$26K |
| D0330 |
Panoramic radiographic image |
458 |
457 |
$21K |
| D9310 |
|
393 |
386 |
$18K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
156 |
52 |
$17K |
| D7230 |
|
63 |
43 |
$15K |