Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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SOUTHEAST OKLAHOMA ORAL & MAXILLOFACIAL SURGERY, PC

NPI: 1306839246 · ADA, OK 74820 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/25/2005

$230K
Total Medicaid Paid
1,824
Total Claims
1,367
Beneficiaries
4
Codes Billed
2018-01
First Month
2023-01
Last Month

Provider Details

Authorized OfficialBOONE, R. (ORAL SURGEON AND OWNER)
NPI Enumeration Date08/25/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 606 $75K
2019 414 $43K
2020 300 $43K
2021 214 $31K
2022 252 $34K
2023 38 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 660 203 $135K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 333 333 $55K
D9222 346 346 $25K
D0140 Limited oral evaluation - problem focused 485 485 $14K