IDAHO CENTER FOR ORAL AND FACIAL SURGERY
NPI: 1558675298
· POCATELLO, ID 83201
· 261QS0112X
$117K
Total Medicaid Paid
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
677 |
$27K |
| 2019 |
850 |
$37K |
| 2020 |
585 |
$16K |
| 2021 |
516 |
$16K |
| 2022 |
373 |
$7K |
| 2023 |
234 |
$4K |
| 2024 |
285 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
|
266 |
96 |
$48K |
| D0330 |
|
877 |
876 |
$36K |
| D0140 |
|
1,737 |
1,731 |
$15K |
| D7210 |
|
108 |
55 |
$14K |
| D9310 |
|
13 |
13 |
$2K |
| D9223 |
|
316 |
269 |
$2K |
| D9222 |
|
203 |
203 |
$511.32 |