Medicaid Provider Spending

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

SANDHILLS ORAL & FACIAL SURGERY LLC

NPI: 1508408584 · KEARNEY, NE 68845 · Dental Clinic/Center · NPI assigned 10/11/2019

$2K
Total Medicaid Paid
15
Total Claims
15
Beneficiaries
1
Codes Billed
2020-09
First Month
2020-09
Last Month

Provider Details

Authorized OfficialWEBER, MATTHEW (PARTNER)
NPI Enumeration Date10/11/2019

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 15 15 $2K