Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MN › MANKATO › SOUTHEASTERN MINNESOTA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES

SOUTHEASTERN MINNESOTA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES

NPI: 1144413782 · MANKATO, MN 56001 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 08/27/2007

$1K
Total Medicaid Paid
55
Total Claims
54
Beneficiaries
1
Codes Billed
2018-04
First Month
2019-02
Last Month

Provider Details

Authorized OfficialNUSTAD, ROBERT (VP, TREASURER)
NPI Enumeration Date08/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $566.91
2019 30 $573.96

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 55 54 $1K