Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › NORTH CHARLESTON › COASTAL ORAL AND MAXILLOFACIAL SURGERY, PC

COASTAL ORAL AND MAXILLOFACIAL SURGERY, PC

NPI: 1093874562 · NORTH CHARLESTON, SC 29406 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 12/08/2006

$6K
Total Medicaid Paid
155
Total Claims
155
Beneficiaries
2
Codes Billed
2023-03
First Month
2023-11
Last Month

Provider Details

Authorized OfficialHALL, JEFFREY (PRACTITIONER)
NPI Enumeration Date12/08/2006

Related Entities

Other providers sharing the same authorized official: HALL, JEFFREY

ProviderCityStateTotal Paid
SPECTRUM PAIN CLINICS INC. CORDOVA TN $1.32M
ENCORE SURGICAL INSTITUTE LLC CORDOVA TN $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 155 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 111 111 $4K
D0330 Panoramic radiographic image 44 44 $2K