Medicaid Provider Spending

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

SOUTHWEST OROFACIAL GROUP, INC.

NPI: 1487733572 · PHOENIX, AZ 85028 · Dentist · NPI assigned 11/02/2006

$44K
Total Medicaid Paid
93
Total Claims
78
Beneficiaries
3
Codes Billed
2018-05
First Month
2023-03
Last Month

Provider Details

Authorized OfficialGARVEY, THERESE (OWNER)
NPI Enumeration Date11/02/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 61 $25K
2022 16 $9K
2023 16 $9K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
21085 60 50 $33K
21110 18 13 $9K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $2K