Medicaid Provider Spending

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

A. TODD SMITH, DDS PA

NPI: 1275500167 · WINSTON SALEM, NC 27103 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 03/01/2006

$17K
Total Medicaid Paid
174
Total Claims
116
Beneficiaries
7
Codes Billed
2023-05
First Month
2023-05
Last Month

Provider Details

Authorized OfficialSMITH, A (ORAL SURGEON)
NPI Enumeration Date03/01/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 174 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 50 15 $10K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 40 17 $3K
D9222 17 17 $1K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 15 15 $943.80
D9612 15 15 $909.75
D0140 Limited oral evaluation - problem focused 17 17 $572.45
D0330 Panoramic radiographic image 20 20 $247.80