Medicaid Provider Spending

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

ASPIRE SURGICAL

NPI: 1548792468 · SALT LAKE CITY, UT 84121 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 03/30/2017

$14K
Total Medicaid Paid
296
Total Claims
219
Beneficiaries
7
Codes Billed
2018-05
First Month
2019-10
Last Month

Provider Details

Authorized OfficialHOROWITZ, JAMIE (INSURANCE MANAGER)
NPI Enumeration Date03/30/2017

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 268 $14K
2019 28 $138.64

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 37 12 $9K
D7140 Extraction, erupted tooth or exposed root 55 18 $3K
D9222 16 16 $1K
D0140 Limited oral evaluation - problem focused 135 130 $665.50
D0330 Panoramic radiographic image 12 12 $264.13
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 25 16 $153.79
D9610 16 15 $0.00