Medicaid Provider Spending

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

GREAT BAY ORAL SURGERY ASSOCIATES PA

NPI: 1871613539 · SOMERSWORTH, NH 03878 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/29/2007

$59K
Total Medicaid Paid
715
Total Claims
537
Beneficiaries
5
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialSCARAMELLA, SHARON (PRACTICE ADMINSTRATOR)
NPI Enumeration Date03/29/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 277 $25K
2019 87 $7K
2020 78 $6K
2021 123 $9K
2022 99 $8K
2023 51 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9222 90 80 $18K
D0150 Comprehensive oral evaluation - new or established patient 324 293 $17K
D7140 Extraction, erupted tooth or exposed root 164 46 $16K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 99 80 $7K
D0140 Limited oral evaluation - problem focused 38 38 $2K