Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › MO › THAYER › HETMIR LLC

HETMIR LLC

NPI: 1255684577 · THAYER, MO 65791 · General Practice Dentistry · NPI assigned 10/24/2012

$8K
Total Medicaid Paid
168
Total Claims
53
Beneficiaries
2
Codes Billed
2019-07
First Month
2020-08
Last Month

Provider Details

Authorized OfficialPATEL, SAMIR (CEO)
NPI Enumeration Date10/24/2012

Related Entities

Other providers sharing the same authorized official: PATEL, SAMIR

ProviderCityStateTotal Paid
WEST CENTRAL OHIO GROUP LTD. LIMA OH $873K
SD MEDICAL CORP SPOTSWOOD NJ $726K
ARIZONA PAIN CARE CENTER, PLLC ORO VALLEY AZ $108K
THE DERMATOLOGY GROUP, INC MASON OH $97K
NAVEERA PLLC WALNUT RIDGE AR $8K
EXCEL DENTAL OF REVERE LLC REVERE MA $5K
BERKELEY INTERNAL MEDICINE WARREN NJ $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 107 $7K
2020 61 $776.77

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 93 14 $7K
D0330 Panoramic radiographic image 75 39 $1K