Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AZ › YUMA › ADVANCED IMPLANT AND ORAL SURGERY

ADVANCED IMPLANT AND ORAL SURGERY

NPI: 1942703657 · YUMA, AZ 85364 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 03/09/2018

$29K
Total Medicaid Paid
869
Total Claims
683
Beneficiaries
7
Codes Billed
2019-05
First Month
2021-03
Last Month

Provider Details

Authorized OfficialSPANGANBERG, PETER (OWNER)
NPI Enumeration Date03/09/2018

Related Entities

Other providers sharing the same authorized official: SPANGANBERG, PETER

ProviderCityStateTotal Paid
SONOMA ORAL & FACIAL SURGERY, PLLC GILBERT AZ $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 734 $23K
2020 68 $3K
2021 67 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0330 Panoramic radiographic image 274 222 $8K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 195 102 $7K
D0150 Comprehensive oral evaluation - new or established patient 150 130 $5K
D9222 94 90 $4K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 20 14 $2K
D0140 Limited oral evaluation - problem focused 56 47 $1K
D9610 80 78 $451.35