Medicaid Provider Spending

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

KY TN ORAL SURGERY PLLC

NPI: 1093077166 · MURRAY, KY 42071 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/13/2012

$77K
Total Medicaid Paid
1,277
Total Claims
1,005
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-06
Last Month

Provider Details

Authorized OfficialBOBO, MICHAEL (PARTNER/ MEMBER)
NPI Enumeration Date06/13/2012

Related Entities

Other providers sharing the same authorized official: BOBO, MICHAEL

ProviderCityStateTotal Paid
MICHAEL L BOBO, DDS, MD, PSC UNION CITY TN $77K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 170 $9K
2019 477 $35K
2020 164 $9K
2021 212 $11K
2022 254 $14K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 451 207 $38K
D9222 199 193 $17K
D0140 Limited oral evaluation - problem focused 556 554 $13K
D7240 Removal of impacted tooth - completely bony 33 13 $8K
D9610 12 12 $304.20
D0330 Panoramic radiographic image 26 26 $248.65