Medicaid Provider Spending

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

BLOOMINGTON ORAL & MAXILLOFACIAL SURGERY GROUP

NPI: 1386762318 · BLOOMINGTON, IN 47403 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 03/27/2007

$1K
Total Medicaid Paid
147
Total Claims
110
Beneficiaries
2
Codes Billed
2018-01
First Month
2018-05
Last Month

Provider Details

Authorized OfficialTATE, SCOTT (DOCTOR PRESIDENT)
NPI Enumeration Date03/27/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 147 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 59 26 $803.32
D0140 Limited oral evaluation - problem focused 88 84 $556.20