Medicaid Provider Spending

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

LIBERTY ORAL AND FACIAL SURGERY

NPI: 1548834963 · CLARKSVILLE, TN 37040 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/19/2021

$25K
Total Medicaid Paid
483
Total Claims
402
Beneficiaries
4
Codes Billed
2022-08
First Month
2024-02
Last Month

Provider Details

Authorized OfficialMCNAUGHT, MICHAEL (OWNER)
NPI Enumeration Date05/19/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 200 $12K
2023 257 $13K
2024 26 $767.75

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 122 59 $10K
D0150 Comprehensive oral evaluation - new or established patient 242 225 $7K
D9222 59 59 $5K
D9612 60 59 $3K