Medicaid Provider Spending

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

MPL MAXILLOFACIAL SURGERY, PSC

NPI: 1881984920 · SAN SEBASTIAN, PR 00685 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/11/2011

$3.84M
Total Medicaid Paid
53,146
Total Claims
35,639
Beneficiaries
7
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialPASTRANA, MIGUEL (PRESIDENT)
NPI Enumeration Date04/11/2011

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 5,400 $350K
2019 8,100 $572K
2020 5,918 $344K
2021 7,564 $509K
2022 7,908 $582K
2023 8,892 $707K
2024 9,364 $778K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 21,758 10,356 $1.87M
D7240 Removal of impacted tooth - completely bony 7,026 2,647 $1.22M
D0160 12,164 11,269 $425K
D1999 8,654 8,356 $129K
D7220 895 533 $112K
D0330 Panoramic radiographic image 2,496 2,327 $80K
D0150 Comprehensive oral evaluation - new or established patient 153 151 $4K