Medicaid Provider Spending

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

CLINTON DENTAL SURGERY CENTER, P.C.

NPI: 1730355033 · CLINTON, IA 52732 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 05/06/2008

$5K
Total Medicaid Paid
84
Total Claims
65
Beneficiaries
5
Codes Billed
2019-01
First Month
2024-05
Last Month

Provider Details

Authorized OfficialALT, ROBERT (CORPORATE V.P. AND SEC)
NPI Enumeration Date05/06/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 13 $282.48
2024 71 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 28 13 $3K
D9222 14 13 $1K
D0140 Limited oral evaluation - problem focused 16 15 $365.95
D0150 Comprehensive oral evaluation - new or established patient 13 12 $282.48
D9610 13 12 $175.68