Medicaid Provider Spending

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

TOOTH EXTRACTION CLINIC

NPI: 1568120160 · HENDERSONVILLE, TN 37075 · Dental Clinic/Center · NPI assigned 12/01/2021

$40K
Total Medicaid Paid
1,603
Total Claims
608
Beneficiaries
5
Codes Billed
2023-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialWILLIAMS, JOHNNY (COO)
NPI Enumeration Date12/01/2021

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 1,521 $38K
2024 82 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 392 56 $13K
D0330 Panoramic radiographic image 416 174 $10K
D0140 Limited oral evaluation - problem focused 604 304 $9K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 91 24 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 100 50 $2K