Clinic
Advanced Implant and Oral Surgery
Advanced Implant and Oral Surgery was paid $29K by Medicaid between May 2019 and Mar 2021, across 7 billing codes. Its largest line is D0330, Panoramic radiographic image — 30% of everything it billed.
33Billing provider infoADVANCED IMPLANT AND ORAL SURGERY
YUMA, AZ 85364
YUMA, AZ 85364
33aNPI1942703657assigned 03/09/2018
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$29K
24GClaims869
24DCodes billed7
24AFirst – last monthMay 2019 – Mar 2021
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 734 | $23K | |
| 2020 | 68 | $3K | |
| 2021 | 67 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 30% | 274 | 222 | $8K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 26% | 195 | 102 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 16% | 150 | 130 | $5K |
| D9222 | 16% | 94 | 90 | $4K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 6.9% | 20 | 14 | $2K |
| D0140 | Limited oral evaluation - problem focused | 4.5% | 56 | 47 | $1K |
| D9610 | 1.6% | 80 | 78 | $451.35 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSPANGANBERG, PETER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Sonoma Oral & Facial Surgery, PLLC | Gilbert, AZ | $3K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.