Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › CA › SAN FRANCISCO › UCSF SFGH MAXILLO FACIAL SURGERY CL. #20-4

UCSF SFGH MAXILLO FACIAL SURGERY CL. #20-4

NPI: 1730268657 · SAN FRANCISCO, CA 94110 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 11/02/2006

$197K
Total Medicaid Paid
3,575
Total Claims
1,800
Beneficiaries
7
Codes Billed
2018-01
First Month
2019-09
Last Month

Provider Details

Authorized OfficialFEATHERSTONE, JOHN (INTERIM DEAN)
NPI Enumeration Date11/02/2006

Related Entities

Other providers sharing the same authorized official: FEATHERSTONE, JOHN

ProviderCityStateTotal Paid
UCSF ORAL SURGERY CL. #20-3 SAN FRANCISCO CA $490K
UCSF PERIODONTAL SPECIALTY CLINIC SAN FRANCISCO CA $340K
UCSF ORAL & MAXILLOFACIAL SURGERY SAN FRANCISCO CA $5K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,350 $141K
2019 1,225 $56K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7140 Extraction, erupted tooth or exposed root 2,630 1,123 $141K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 315 85 $29K
D0330 Panoramic radiographic image 448 448 $13K
D7240 Removal of impacted tooth - completely bony 28 13 $6K
D7230 23 14 $4K
D9241 58 58 $2K
D9242 73 59 $914.50