Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SC › MYRTLE BEACH › JEFFREY H WALLEN D.D.S. P.C.

JEFFREY H WALLEN D.D.S. P.C.

NPI: 1134242621 · MYRTLE BEACH, SC 29577 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/09/2007

$10K
Total Medicaid Paid
227
Total Claims
227
Beneficiaries
2
Codes Billed
2019-01
First Month
2023-05
Last Month

Provider Details

Authorized OfficialWALLEN, JEFFREY (OWNER)
NPI Enumeration Date04/09/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 38 $1K
2020 81 $3K
2021 45 $2K
2022 15 $570.70
2023 48 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 179 179 $7K
D9310 48 48 $3K