Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › BOUNTIFUL › WISDOM TEETH GUYS, LLC

WISDOM TEETH GUYS, LLC

NPI: 1295113793 · BOUNTIFUL, UT 84010 · Dental Clinic/Center · NPI assigned 05/15/2015

$90K
Total Medicaid Paid
855
Total Claims
616
Beneficiaries
5
Codes Billed
2021-07
First Month
2023-08
Last Month

Provider Details

Authorized OfficialARNOLD, RYAN (PRESIDENT)
NPI Enumeration Date05/15/2015

Related Entities

Other providers sharing the same authorized official: ARNOLD, RYAN

ProviderCityStateTotal Paid
PHOENIX WISDOM TEETH, LLC GLENDALE AZ $893K
SAN ANTONIO WISDOM TEETH, PLLC SAN ANTONIO TX $516K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 251 $26K
2022 363 $31K
2023 241 $33K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 331 99 $32K
D9222 107 106 $32K
D0140 Limited oral evaluation - problem focused 237 235 $17K
D0330 Panoramic radiographic image 127 126 $6K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 53 50 $3K