Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › ME › SOUTH PORTLAND › THOMAS, GRACE

THOMAS, GRACE

NPI: 1588876908 · SOUTH PORTLAND, ME 04106 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/06/2007

$6K
Total Medicaid Paid
102
Total Claims
89
Beneficiaries
5
Codes Billed
2019-04
First Month
2019-05
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 102 $6K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 28 15 $2K
D9243 16 16 $2K
D9239 17 17 $1K
D0330 Panoramic radiographic image 29 29 $901.50
D0140 Limited oral evaluation - problem focused 12 12 $142.00