Medicaid Provider Spending

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

HILTON HEAD ISLAND ORAL AND MAXILLOFACIAL SURGERY

NPI: 1033448758 · HILTON HEAD ISLAND, SC 29926 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 12/08/2009

$5K
Total Medicaid Paid
128
Total Claims
127
Beneficiaries
2
Codes Billed
2018-02
First Month
2023-12
Last Month

Provider Details

Authorized OfficialLOW, BRIAN (ORAL AND MAXILLOFACIAL SURGEON)
NPI Enumeration Date12/08/2009

Related Entities

Other providers sharing the same authorized official: LOW, BRIAN

ProviderCityStateTotal Paid
OPTIMA INDUSTRIAL MEDICAL CARSON CA $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 29 $1K
2020 16 $616.00
2021 41 $2K
2023 42 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 116 115 $4K
D0150 Comprehensive oral evaluation - new or established patient 12 12 $504.00