Medicaid Provider Spending

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

EXETER DENTAL IMPLANT AND ORAL SURGERY CENTER

NPI: 1063024487 · EXETER, NH 03833 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/18/2020

$39K
Total Medicaid Paid
447
Total Claims
315
Beneficiaries
3
Codes Billed
2022-04
First Month
2024-12
Last Month

Provider Details

Authorized OfficialGROLEAU, HAILEY (MANAGER)
NPI Enumeration Date08/18/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 115 $7K
2023 37 $1K
2024 295 $30K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9222 74 65 $17K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 177 77 $13K
D0140 Limited oral evaluation - problem focused 196 173 $9K