Medicaid Provider Spending

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

COLORADO WEST ORAL & MAXILLOFACIAL SURGERY PC

NPI: 1588824437 · GRAND JUNCTION, CO 81501 · Specialist · NPI assigned 06/13/2008

$6K
Total Medicaid Paid
163
Total Claims
163
Beneficiaries
2
Codes Billed
2021-01
First Month
2023-09
Last Month

Provider Details

Authorized OfficialKELLY, STEPHEN (PRESIDENT)
NPI Enumeration Date06/13/2008

Related Entities

Other providers sharing the same authorized official: KELLY, STEPHEN

ProviderCityStateTotal Paid
KELLY MEDICAL, PC OKLAHOMA CITY OK $345K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 112 $5K
2022 14 $480.20
2023 37 $1K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 151 151 $5K
D9222 12 12 $1K