Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › DAVENPORT › SPRING PARK ORAL AND MAXILLOFACIAL SURGEONS, P.C.

SPRING PARK ORAL AND MAXILLOFACIAL SURGEONS, P.C.

NPI: 1669431854 · DAVENPORT, IA 52807 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 03/17/2006

$4K
Total Medicaid Paid
141
Total Claims
126
Beneficiary Records
3
Codes Billed
2018-10
First Month
2020-06
Last Month

Provider Details

Authorized OfficialSMITH, PAUL (PARTNER)
NPI Enumeration Date03/17/2006

Related Entities

Other providers sharing the same authorized official: SMITH, PAUL

ProviderCityStateTotal Paid
POTTSTOWN ORAL & MAXILLOFACIAL SURGERY ASSOC. INC POTTSTOWN PA $375K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 13 $216.46
2019 53 $2K
2020 75 $2K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0140 Limited oral evaluation - problem focused 105 101 $3K
D7140 Extraction, erupted tooth or exposed root 23 12 $972.23
D0150 Comprehensive oral evaluation - new or established patient 13 13 $216.46