Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › DAVENPORT › MISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC

MISSISSIPPI VALLEY ORAL & MAXILLOFACIAL SURGERY PC

NPI: 1144490707 · DAVENPORT, IA 52807 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/10/2008

$76K
Total Medicaid Paid
1,253
Total Claims
711
Beneficiaries
5
Codes Billed
2018-01
First Month
2021-06
Last Month

Provider Details

Authorized OfficialANDERSON, DAVID (OWNER/DOCTOR)
NPI Enumeration Date03/10/2008

Related Entities

Other providers sharing the same authorized official: ANDERSON, DAVID

ProviderCityStateTotal Paid
LYDIA HOME ASSOCIATION CHICAGO IL $5.04M
TERRE HAUTE HOME HEALTH CARE PRODUCTS INC TERRE HAUTE IN $1.16M
TERRE HAUTE HOME HEALTH CARE PRODUCTS INC BLOOMINGTON IN $108K
CHEQUAMEGON SCHOOL DISTRICT PARK FALLS WI $45K
DAVID ANDERSON DENTAL LLC SANDY UT $31K
DAVID P ANDERSON DDS PLLC DURANGO CO $6K
DIAL 4 CARE, INC. MIAMI LAKES FL $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 661 $40K
2019 383 $24K
2020 87 $6K
2021 122 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 786 343 $38K
D7240 Removal of impacted tooth - completely bony 90 26 $15K
D9222 178 164 $12K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 173 152 $11K
D0330 Panoramic radiographic image 26 26 $690.75