Medicaid Provider Spending

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

WENATCHEE VALLEY ORAL AND FACIAL SURGERY

NPI: 1689090110 · WENATCHEE, WA 98801 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 03/07/2014

$88K
Total Medicaid Paid
740
Total Claims
564
Beneficiaries
5
Codes Billed
2018-01
First Month
2018-06
Last Month

Provider Details

Authorized OfficialJOHNSON, JEREMIAH (DOCTOR)
NPI Enumeration Date03/07/2014

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 740 $88K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 232 70 $34K
D9222 117 116 $24K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 127 114 $23K
D0330 Panoramic radiographic image 103 103 $4K
D0140 Limited oral evaluation - problem focused 161 161 $3K