Medicaid Provider Spending

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

COAL CREEK ORAL SURGERY AND DENTAL IMPLANT CENTER, PLLC

NPI: 1154864106 · LAFAYETTE, CO 80026 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 11/23/2016

$35K
Total Medicaid Paid
399
Total Claims
300
Beneficiaries
6
Codes Billed
2020-12
First Month
2024-09
Last Month

Provider Details

Authorized OfficialHAYES, CURTIS (OWNER)
NPI Enumeration Date11/23/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 19 $1K
2021 25 $2K
2022 29 $2K
2023 181 $21K
2024 145 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 38 15 $11K
D0160 85 70 $6K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 32 31 $6K
D9310 129 129 $6K
D9222 32 31 $4K
D9613 83 24 $3K