Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN FRANCISCO › UCSF PERIODONTAL SPECIALTY CLINIC

UCSF PERIODONTAL SPECIALTY CLINIC

NPI: 1497829162 · SAN FRANCISCO, CA 94143 · Periodontist · NPI assigned 11/17/2006

$340K
Total Medicaid Paid
5,766
Total Claims
4,642
Beneficiaries
8
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialFEATHERSTONE, JOHN (DEAN)
NPI Enumeration Date11/17/2006

Related Entities

Other providers sharing the same authorized official: FEATHERSTONE, JOHN

ProviderCityStateTotal Paid
UCSF ORAL SURGERY CL. #20-3 SAN FRANCISCO CA $490K
UCSF SFGH MAXILLO FACIAL SURGERY CL. #20-4 SAN FRANCISCO CA $197K
UCSF ORAL & MAXILLOFACIAL SURGERY SAN FRANCISCO CA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,150 $50K
2019 972 $63K
2020 332 $23K
2021 1,468 $88K
2022 892 $55K
2023 324 $20K
2024 628 $41K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0150 Comprehensive oral evaluation - new or established patient 2,648 2,636 $165K
D4910 771 768 $51K
D4341 621 260 $42K
D7140 Extraction, erupted tooth or exposed root 735 302 $41K
D4342 565 256 $24K
D0210 Intraoral - complete series of radiographic images 216 215 $10K
D1110 Prophylaxis - adult 167 162 $5K
D0120 Periodic oral evaluation - established patient 43 43 $2K