Medicaid Provider Spending

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

SALUTE ORAL AND FACIAL SURGERY, PA

NPI: 1255521837 · AUSTIN, TX 78759 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/30/2007

$2K
Total Medicaid Paid
68
Total Claims
42
Beneficiary Records
3
Codes Billed
2020-10
First Month
2020-10
Last Month

Provider Details

Authorized OfficialMARCANTONI, HENRY (OWNER/SURGEON)
NPI Enumeration Date07/30/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 68 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D9243 40 14 $1K
D9239 14 14 $644.09
D9612 14 14 $447.04