Medicaid Provider Spending

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

CENTER CITY ORAL & MAXILLOFACIAL SURGERY

NPI: 1376990853 · PHILADELPHIA, PA 19146 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 05/16/2016

$14K
Total Medicaid Paid
179
Total Claims
173
Beneficiary Records
4
Codes Billed
2024-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialCHI, KAI-ZU (DR)
NPI Enumeration Date05/16/2016

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 179 $14K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D9243 14 12 $5K
D0330 Panoramic radiographic image 57 56 $3K
D0150 Comprehensive oral evaluation - new or established patient 94 93 $3K
D9239 14 12 $2K