Medicaid Provider Spending

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

GREAT LAKES JAW SURGERY, PC

NPI: 1326291816 · GRAND RAPIDS, MI 49508 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/28/2008

$9K
Total Medicaid Paid
116
Total Claims
89
Beneficiary Records
3
Codes Billed
2020-10
First Month
2021-04
Last Month

Provider Details

Authorized OfficialROSEMA, ROBERT (OWNER/ ORAL SURGEON)
NPI Enumeration Date10/28/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 70 $7K
2021 46 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 40 13 $4K
D0140 Limited oral evaluation - problem focused 63 63 $4K
D9222 13 13 $1K