Medicaid Provider Spending

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

EXEMPLAR ORAL SURGERY CENTER

NPI: 1124616974 · NORTH CHARLESTON, SC 29418 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 01/07/2021

$32K
Total Medicaid Paid
367
Total Claims
318
Beneficiaries
5
Codes Billed
2021-12
First Month
2023-03
Last Month

Provider Details

Authorized OfficialLEACH, DANIEL (DOCTOR)
NPI Enumeration Date01/07/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 13 $486.90
2022 342 $31K
2023 12 $452.90

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 39 12 $10K
D9222 69 69 $6K
D0140 Limited oral evaluation - problem focused 155 155 $6K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 67 67 $5K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 37 15 $5K