Medicaid Provider Spending

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

SOUTHEASTERN ORAL & MAXILLOFACIAL SURGERY CENTER INC

NPI: 1265561856 · BLUFFTON, SC 29910 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/02/2007

$2K
Total Medicaid Paid
62
Total Claims
62
Beneficiaries
1
Codes Billed
2018-03
First Month
2023-01
Last Month

Provider Details

Authorized OfficialSHIRLEY, PAUL (OWNER)
NPI Enumeration Date03/02/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $1K
2019 12 $462.00
2023 12 $468.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 62 62 $2K