Medicaid Provider Spending

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

ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC

NPI: 1124776687 · MENDOTA HEIGHTS, MN 55118 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/14/2022

$41K
Total Medicaid Paid
298
Total Claims
233
Beneficiaries
3
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialHAYES, CELIA (CREDENTIALING COORDINATOR)
Parent OrganizationST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC
NPI Enumeration Date03/14/2022

Related Entities

Other providers sharing the same authorized official: HAYES, CELIA

ProviderCityStateTotal Paid
ST PAUL ORAL SURGERY AND DENTAL IMPLANTS LLC SAINT PAUL MN $1.26M
FAMILY PEDIATRIC DENTAL SPECIALISTS PLC BURNSVILLE MN $756K
FAMILY ORTHODONTIC SPECIALISTS, PLC RICHFIELD MN $277K
TRU DENTAL MICHIGAN II, PLLC LAPEER MI $169K
CAPITAL AREA HUDSON VALLEY NEW YORK DENTAL PC GREENFIELD MA $17K
TRU DENTAL MICHIGAN II, PLLC WARREN MI $17K
TRU DENTAL MICHIGAN PC LIVONIA MI $16K
TRU DENTAL MICHIGAN PC DEARBORN HEIGHTS MI $1K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 49 $3K
2024 249 $38K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 61 30 $20K
D0140 Limited oral evaluation - problem focused 195 191 $13K
D7140 Extraction, erupted tooth or exposed root 42 12 $8K