Medicaid Provider Spending

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

VALLEY ORAL & MAXILLOFACIAL SURGERY, PA

NPI: 1700923216 · TOTOWA, NJ 07512 · Oral and Maxillofacial Pathology Dentist · NPI assigned 01/31/2007

$14K
Total Medicaid Paid
121
Total Claims
108
Beneficiaries
3
Codes Billed
2019-03
First Month
2020-02
Last Month

Provider Details

Authorized OfficialMODUGNO, VITO (OWNER PRESIDENT)
NPI Enumeration Date01/31/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 93 $11K
2020 28 $2K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 26 13 $6K
D0140 Limited oral evaluation - problem focused 58 58 $4K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 37 37 $4K