Medicaid Provider Spending

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

BAY ORAL SURGERY & IMPLANT CENTER, LTD

NPI: 1427270776 · GREEN BAY, WI 54304 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/03/2007

$24K
Total Medicaid Paid
118
Total Claims
95
Beneficiaries
3
Codes Billed
2019-09
First Month
2021-08
Last Month

Provider Details

Authorized OfficialGREENE, ELLEN (PRACTICE ADMINSTRAT)
NPI Enumeration Date05/03/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 32 $10K
2020 44 $7K
2021 42 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 32 12 $10K
D9222 57 55 $9K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 29 28 $5K