Medicaid Provider Spending

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

MANCHESTER ORAL AND IMPLANT SURGERY PLLC

NPI: 1477707081 · MANCHESTER, CT 06040 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 11/10/2008

$5K
Total Medicaid Paid
82
Total Claims
73
Beneficiaries
4
Codes Billed
2023-04
First Month
2024-08
Last Month

Provider Details

Authorized OfficialHARRISON, LISA (MANAGER)
NPI Enumeration Date11/10/2008

Related Entities

Other providers sharing the same authorized official: HARRISON, LISA

ProviderCityStateTotal Paid
JAMES W. SCHELLER, DDS, PA HICKORY NC $3.75M
WILD IRIS LLC WASILLA AK $284K
MIDWEST COUNSELING SERVICES, LLC WICHITA KS $96K
WEST HARTFORD ORAL AND IMPLANT SURGERY PLLC MANCHESTER CT $27K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 43 $4K
2024 39 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 12 12 $2K
D0140 Limited oral evaluation - problem focused 39 37 $2K
D9222 12 12 $1K
D9610 19 12 $360.00