Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › SD › ABERDEEN › NORTHERN PLAINS ORAL AND MAXILLOFACIAL SURGERY LLC

NORTHERN PLAINS ORAL AND MAXILLOFACIAL SURGERY LLC

NPI: 1487718565 · ABERDEEN, SD 57401 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 12/21/2006

$120K
Total Medicaid Paid
1,067
Total Claims
610
Beneficiaries
4
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKIMBLER, CARL (OWNER)
NPI Enumeration Date12/21/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 25 $979.44
2019 12 $506.04
2020 30 $1K
2021 128 $9K
2022 111 $7K
2023 105 $7K
2024 656 $95K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 647 212 $75K
D9222 116 116 $23K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 72 50 $12K
D0140 Limited oral evaluation - problem focused 232 232 $10K