Medicaid Provider Spending

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

NPI: 1215437165 · EAGLE RIVER, AK 99577 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 02/16/2018

$16K
Total Medicaid Paid
105
Total Claims
96
Beneficiaries
3
Codes Billed
2018-05
First Month
2018-09
Last Month

Provider Details

Authorized OfficialRIOS-ANDERSEN, LEONARDO (ORAL SURGEON)
NPI Enumeration Date02/16/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 105 $16K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9243 27 25 $9K
D9239 29 26 $4K
D0140 Limited oral evaluation - problem focused 49 45 $3K