Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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NORTHWEST ORAL AND MAXILLOFACIAL SURGEONS

NPI: 1417385857 · GRESHAM, OR 97030 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 10/22/2013

$19K
Total Medicaid Paid
145
Total Claims
75
Beneficiaries
2
Codes Billed
2018-10
First Month
2020-04
Last Month

Provider Details

Authorized OfficialLIEBLICK, RUSSELL (OWNER)
NPI Enumeration Date10/22/2013

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 17 $2K
2019 111 $15K
2020 17 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 76 14 $10K
D0140 Limited oral evaluation - problem focused 69 61 $9K