Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › RAPID CITY › WILLIAMS ORAL AND MAXILLOFACIAL SURGERY, PROF. L.L.C.

WILLIAMS ORAL AND MAXILLOFACIAL SURGERY, PROF. L.L.C.

NPI: 1407091424 · RAPID CITY, SD 57701 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 12/04/2008

$116K
Total Medicaid Paid
1,336
Total Claims
812
Beneficiaries
5
Codes Billed
2018-03
First Month
2023-08
Last Month

Provider Details

Authorized OfficialWILLIAMS, GREGORY (PRESIDENT)
NPI Enumeration Date12/04/2008

Related Entities

Other providers sharing the same authorized official: WILLIAMS, GREGORY

ProviderCityStateTotal Paid
OREGON MOBILE DENTISTRY, P.C. TIGARD OR $109K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 100 $8K
2019 127 $11K
2021 75 $7K
2022 207 $18K
2023 827 $71K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 435 210 $45K
D7140 Extraction, erupted tooth or exposed root 387 126 $31K
D9222 270 251 $29K
D0140 Limited oral evaluation - problem focused 230 211 $10K
D0150 Comprehensive oral evaluation - new or established patient 14 14 $881.88