Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MD › DUNKIRK › POTOMAC ORAL AND MAXILLOFACIAL SURGERY; LLC

POTOMAC ORAL AND MAXILLOFACIAL SURGERY; LLC

NPI: 1972202711 · DUNKIRK, MD 20754 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/01/2023

$5K
Total Medicaid Paid
39
Total Claims
38
Beneficiaries
3
Codes Billed
2024-07
First Month
2024-08
Last Month

Provider Details

Authorized OfficialGARDNER, WENDELL (ORAL AND MAXILLOFACIAL SURGEON)
NPI Enumeration Date03/01/2023

Related Entities

Other providers sharing the same authorized official: GARDNER, WENDELL

ProviderCityStateTotal Paid
POTOMAC ORAL & MAXILLOFACIAL SURGERY PRINCE FREDERICK MD $13K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 39 $5K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 13 13 $3K
D9222 13 13 $1K
D0140 Limited oral evaluation - problem focused 13 12 $567.12