Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

WASHINGTON ORAL SURGERY CENTER, LLC

NPI: 1861801805 · WASHINGTON, DC 20020 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 08/04/2014

$31K
Total Medicaid Paid
382
Total Claims
327
Beneficiaries
4
Codes Billed
2018-04
First Month
2024-05
Last Month

Provider Details

Authorized OfficialPELT, MADALYN (INSRUANCE SPECIALIST)
NPI Enumeration Date08/04/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 15 $952.00
2019 88 $8K
2020 26 $2K
2021 41 $4K
2022 13 $948.00
2023 107 $7K
2024 92 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 224 212 $14K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 65 25 $9K
D9310 80 77 $7K
D0150 Comprehensive oral evaluation - new or established patient 13 13 $905.50