Medicaid Provider Spending

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

ORAL & MAXILLOFACIAL SURGERY OF GREATER GRAND RAPIDS LLC

NPI: 1295375137 · CALEDONIA, MI 49316 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 01/08/2020

$29K
Total Medicaid Paid
292
Total Claims
174
Beneficiaries
4
Codes Billed
2021-03
First Month
2021-10
Last Month

Provider Details

Authorized OfficialVANHOOSE, BRADLEY G VANHOOSE (ORAL SURGEON)
NPI Enumeration Date01/08/2020

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 292 $29K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 136 47 $13K
D7240 Removal of impacted tooth - completely bony 41 14 $6K
D9310 66 66 $5K
D9222 49 47 $5K