Medicaid Provider Spending

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

RIO GRANDE ORAL AND MAXILLOFACIAL SURGERY, P.C.

NPI: 1235300237 · ALBUQUERQUE, NM 87113 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 03/18/2008

$2K
Total Medicaid Paid
96
Total Claims
96
Beneficiaries
4
Codes Billed
2018-07
First Month
2018-11
Last Month

Provider Details

Authorized OfficialMCGEE, GREGORY (PRESIDENT)
NPI Enumeration Date03/18/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 96 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0274 Bitewings - four radiographic images 33 33 $1K
D1208 Topical application of fluoride, excluding varnish 30 30 $523.04
D1120 Prophylaxis - child 16 16 $327.10
D0120 Periodic oral evaluation - established patient 17 17 $327.04