Medicaid Provider Spending

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

DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC

NPI: 1801435003 · PRINCETON, WV 24740 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 01/06/2020

$18K
Total Medicaid Paid
226
Total Claims
166
Beneficiaries
4
Codes Billed
2020-08
First Month
2024-09
Last Month

Provider Details

Authorized OfficialCOYNER, LESLEY (CREDENTIALING)
NPI Enumeration Date01/06/2020

Related Entities

Other providers sharing the same authorized official: COYNER, LESLEY

ProviderCityStateTotal Paid
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC HUNTINGTON WV $2.15M
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC CHARLESTON WV $974K
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC BECKLEY WV $789K
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC PARKERSBURG WV $582K
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC HURRICANE WV $534K
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC CHARLESTON WV $467K
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC CHARLESTON WV $179K
INDIAN LAND ORAL & FACIAL SURGERY LLC FORT MILL SC $20K
DRS BROCK, HENDERSON, DI PRISCO, RAVELO AND GREEN INC BECKLEY WV $18K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 15 $425.46
2023 12 $410.00
2024 199 $17K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 67 14 $8K
D9222 38 34 $4K
D0140 Limited oral evaluation - problem focused 77 76 $3K
D0330 Panoramic radiographic image 44 42 $3K