Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › AK › FAIRBANKS › MINNIE STREET SURGERY CENTER, LLC

MINNIE STREET SURGERY CENTER, LLC

NPI: 1497422919 · FAIRBANKS, AK 99701 · Ambulatory Surgical Clinic/Center · NPI assigned 08/24/2021

$45K
Total Medicaid Paid
66
Total Claims
62
Beneficiaries
2
Codes Billed
2022-10
First Month
2022-11
Last Month

Provider Details

Authorized OfficialJOHNSON, GREGORY (MEMBER)
NPI Enumeration Date08/24/2021

Related Entities

Other providers sharing the same authorized official: JOHNSON, GREGORY

ProviderCityStateTotal Paid
TOLEDO EMERGENCY SERVICES TOLEDO IA $86K
MINNIE STREET CHILDREN'S DENTISTRY, PC FAIRBANKS AK $2K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 66 $45K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
41899 Unlisted procedure, dentoalveolar structures 34 33 $31K
00170 Anesthesia for intraoral procedures, including biopsy 32 29 $14K