Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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ORAL AND MAXILLOFACIAL SURGEONS OF UTAH, LLC

NPI: 1780821124 · LAYTON, UT 84041 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 01/07/2009

$394.00
Total Medicaid Paid
14
Total Claims
14
Beneficiaries
1
Codes Billed
2018-04
First Month
2018-04
Last Month

Provider Details

Authorized OfficialLISTON, TODD (ORAL AND MAXILLOFACIAL SURGEON)
NPI Enumeration Date01/07/2009

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 14 $394.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 14 14 $394.00