Medicaid Provider Spending

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

THE REGIONAL CENTER FOR ORAL & MAXILLOFACIAL SURGERY, PC

NPI: 1427163666 · JOHNSON CITY, TN 37604 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/20/2006

$22K
Total Medicaid Paid
249
Total Claims
157
Beneficiary Records
5
Codes Billed
2018-08
First Month
2020-05
Last Month

Provider Details

Authorized OfficialWITKOWSKI, CHARLES (OWNER)
NPI Enumeration Date08/20/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 26 $491.72
2019 74 $5K
2020 149 $17K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D7240 Removal of impacted tooth - completely bony 48 16 $11K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 87 31 $7K
D9222 31 31 $3K
D0140 Limited oral evaluation - problem focused 41 39 $951.60
D0330 Panoramic radiographic image 42 40 $497.30