Medicaid Provider Spending

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

NORTHWEST ORAL & MAXILLOFACIAL SURGEONS, LLC

NPI: 1629286273 · GRESHAM, OR 97030 · Oral and Maxillofacial Pathology Dentist · NPI assigned 05/18/2007

$42K
Total Medicaid Paid
289
Total Claims
272
Beneficiaries
3
Codes Billed
2019-01
First Month
2020-12
Last Month

Provider Details

Authorized OfficialWINDELL, HENRY (PARTNER)
NPI Enumeration Date05/18/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 232 $33K
2020 57 $8K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 212 207 $31K
D0330 Panoramic radiographic image 61 52 $7K
D9222 16 13 $3K