Medicaid Provider Spending

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

ST. PAUL ORAL SURGERY, P.A.

NPI: 1548218910 · SOUTH ST PAUL, MN 55075 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/05/2006

$91K
Total Medicaid Paid
1,574
Total Claims
820
Beneficiaries
6
Codes Billed
2018-01
First Month
2019-05
Last Month

Provider Details

Authorized OfficialOLSON, DALE (PRESIDENT)
NPI Enumeration Date05/05/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 1,189 $19K
2019 385 $72K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 447 202 $42K
D7140 Extraction, erupted tooth or exposed root 831 347 $39K
D9222 116 112 $5K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 67 59 $3K
D0140 Limited oral evaluation - problem focused 89 87 $1K
D7230 24 13 $228.80