Medicaid Provider Spending

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

SUMMIT ORAL & MAXILLOFACIAL SURGERY

NPI: 1679955017 · SALT LAKE CITY, UT 84124 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/22/2015

$10K
Total Medicaid Paid
253
Total Claims
249
Beneficiary Records
2
Codes Billed
2023-06
First Month
2024-11
Last Month

Provider Details

Authorized OfficialDURANT, BARBARA (COLLECTION MANAGER)
NPI Enumeration Date06/22/2015

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 182 $7K
2024 71 $3K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D0330 Panoramic radiographic image 116 115 $5K
D0140 Limited oral evaluation - problem focused 137 134 $5K