Medicaid Provider Spending

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

NPI: 1114621687 · TRUSSVILLE, AL 35173 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 03/29/2023

$13K
Total Medicaid Paid
109
Total Claims
72
Beneficiaries
5
Codes Billed
2024-07
First Month
2024-11
Last Month

Provider Details

Authorized OfficialJACKSON, VERONICA (REVENUE CYCLE MANAGER)
NPI Enumeration Date03/29/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 109 $13K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 46 14 $10K
D9222 13 13 $2K
D0140 Limited oral evaluation - problem focused 21 17 $517.65
D9612 14 14 $108.00
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 15 14 $0.00