GARY BOULOUX, MD, DDS
Oral & Maxillofacial Surgery (D.M.D.) · ATLANTA, GA
Individual Active NPI 1750335733
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 110 | 1,278 | $160,043 | $37,984 | $29,396 |
| 2023 | 125 | 2,955 | $270,994 | $61,514 | $46,519 |
| 2022 | 113 | 1,951 | $182,544 | $49,316 | $37,879 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 70355 | X-ray of lower jaws, upper jaws and teeth | 63 | $18 | $14 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 51 | $163 | $126 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 49 | $130 | $95 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | ✓ | 057350 | GA |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Oral & Maxillofacial Surgery (D.M.D.) providers in Georgia
- NPI 1083889661
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- NPI 1548446594
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- NPI 1750736112
- NPI 1265055495
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See all Oral & Maxillofacial Surgery (D.M.D.) providers in Georgia →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.