Medicaid Provider Spending

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

BOWIE ORAL AND FACIAL SURGERY CENTER INC.

NPI: 1972081313 · BOWIE, MD 20716 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/28/2018

$42K
Total Medicaid Paid
363
Total Claims
291
Beneficiaries
4
Codes Billed
2020-02
First Month
2023-01
Last Month

Provider Details

Authorized OfficialEGOLUM, NKEMAKONAM (OWNER)
NPI Enumeration Date07/28/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 146 $18K
2021 154 $21K
2022 44 $2K
2023 19 $912.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 87 25 $21K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 47 43 $10K
D9310 182 180 $9K
D9222 47 43 $3K