Medicaid Provider Spending

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

CCOFS ORAL SURGERY 2 LLC

NPI: 1700491685 · GREENVILLE, SC 29615 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 09/09/2020

$39K
Total Medicaid Paid
417
Total Claims
358
Beneficiaries
5
Codes Billed
2021-04
First Month
2022-05
Last Month

Provider Details

Authorized OfficialHOCK, JENNIFER (DIRECTOR OF BILLING)
Parent OrganizationDRS MISIEK, FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED & FRANCO PA
NPI Enumeration Date09/09/2020

Related Entities

Other providers sharing the same authorized official: HOCK, JENNIFER

ProviderCityStateTotal Paid
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO CHARLOTTE NC $1.37M
DRS FARRELL, FARRELL, NALE, COOK, KAPITAN, MOHAMED, FRANCO, WESSEL, HO ROCK HILL SC $1.35M
CCOFS ORAL SURGERY I, LLC GREENVILLE SC $10K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 268 $31K
2022 149 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 84 25 $22K
D0140 Limited oral evaluation - problem focused 229 229 $8K
D9222 52 52 $4K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 40 40 $3K
D0330 Panoramic radiographic image 12 12 $550.99