Medicaid Provider Spending

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

CCOFS ORAL SURGERY I, LLC

NPI: 1396397501 · GREENVILLE, SC 29607 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 07/09/2019

$10K
Total Medicaid Paid
162
Total Claims
162
Beneficiaries
3
Codes Billed
2019-12
First Month
2020-11
Last Month

Provider Details

Authorized OfficialHOCK, JENNIFER (RCO MANAGER)
NPI Enumeration Date07/09/2019

Related Entities

Other providers sharing the same authorized official: HOCK, JENNIFER

ProviderCityStateTotal Paid
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO CHARLOTTE NC $1.37M
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO ROCK HILL SC $1.35M
CCOFS ORAL SURGERY 2 LLC GREENVILLE SC $39K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $500.50
2020 149 $10K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 41 41 $4K
D9222 41 41 $4K
D0140 Limited oral evaluation - problem focused 80 80 $3K