Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › FL › ORLANDO › FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA

FLORIDA MAXILLOFACIAL AND RECONSTRUCTIVE SURGERY PA

NPI: 1669111902 · ORLANDO, FL 32819 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 06/03/2022

$5K
Total Medicaid Paid
64
Total Claims
60
Beneficiary Records
1
Codes Billed
2023-05
First Month
2023-10
Last Month

Provider Details

Authorized OfficialSU, TERRY (OWNER/MD)
NPI Enumeration Date06/03/2022

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 64 $5K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 64 60 $5K