Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › UT › SOUTH JORDAN › SJ ORAL SURGERY PC

SJ ORAL SURGERY PC

NPI: 1316442841 · SOUTH JORDAN, UT 84009 · 1223S0112X

$2K
Total Medicaid Paid
39
Total Claims
39
Beneficiaries
3
Codes Billed
2020-09
First Month
2020-09
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 39 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0120 15 15 $2K
D1206 12 12 $0.00
D1120 12 12 $0.00