Medicaid Provider Spending

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

JAMES Y. SU, D.D.S., P.C.

NPI: 1538158746 · NEW YORK, NY 10033 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 10/19/2005

$52K
Total Medicaid Paid
1,065
Total Claims
1,034
Beneficiaries
5
Codes Billed
2018-01
First Month
2019-02
Last Month

Provider Details

Authorized OfficialSU, JAMES (PRESIDENT)
NPI Enumeration Date10/19/2005

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,053 $52K
2019 12 $216.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 254 235 $19K
D9243 95 93 $13K
D0150 Comprehensive oral evaluation - new or established patient 411 411 $9K
D0330 Panoramic radiographic image 241 241 $6K
D7140 Extraction, erupted tooth or exposed root 64 54 $5K