Medicaid Provider Spending

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

NICHOLAS H. PSIMOS, DDS, PLC

NPI: 1770533531 · ROCHESTER, MN 55906 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/11/2006

$73K
Total Medicaid Paid
1,100
Total Claims
982
Beneficiaries
5
Codes Billed
2018-01
First Month
2024-11
Last Month

Provider Details

Authorized OfficialPSIMOS, NICHOLAS (OWNER)
NPI Enumeration Date05/11/2006

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 38 $670.17
2019 37 $1K
2020 26 $777.92
2021 40 $1K
2022 285 $17K
2023 504 $44K
2024 170 $7K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 112 36 $26K
D0140 Limited oral evaluation - problem focused 632 615 $21K
D9222 157 153 $11K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 167 165 $11K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 32 13 $4K