Medicaid Provider Spending

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

PRINCE, SANDFORD

NPI: 1790750586 · JOHNSON CITY, TN 37604 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 02/23/2006

$2K
Total Medicaid Paid
67
Total Claims
65
Beneficiaries
2
Codes Billed
2019-07
First Month
2024-02
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2019 14 $272.80
2022 15 $366.00
2023 25 $570.80
2024 13 $292.80

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 55 53 $1K
D0330 Panoramic radiographic image 12 12 $253.60