Medicaid Provider Spending

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

UPSTATE ORAL SURGERY AND DENTAL IMPLANTS, PLLC

NPI: 1952864548 · WATERTOWN, NY 13601 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 04/10/2019

$68K
Total Medicaid Paid
595
Total Claims
595
Beneficiaries
4
Codes Billed
2019-08
First Month
2024-07
Last Month

Provider Details

Authorized OfficialCURTIS, LOGAN (DR)
NPI Enumeration Date04/10/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 147 $14K
2020 242 $25K
2021 88 $13K
2022 54 $8K
2023 50 $6K
2024 14 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9310 317 317 $28K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 125 125 $25K
D9222 126 126 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 27 27 $5K