Medicaid Provider Spending

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

JAMES ORAL AND MAXILLOFACIAL SURGERY PLLC

NPI: 1730941279 · AMMON, ID 83406 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 01/30/2024

$3K
Total Medicaid Paid
137
Total Claims
127
Beneficiaries
3
Codes Billed
2024-07
First Month
2024-10
Last Month

Provider Details

Authorized OfficialJAMES, THEODORE (OWNER)
NPI Enumeration Date01/30/2024

Related Entities

Other providers sharing the same authorized official: JAMES, THEODORE

ProviderCityStateTotal Paid
UNIVERSAL MEDICAL SERVICES INC MINNEAPOLIS MN $226K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 137 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 19 19 $2K
D0140 Limited oral evaluation - problem focused 102 92 $923.10
D0330 Panoramic radiographic image 16 16 $616.17