Medicaid Provider Spending

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

PARKCENTER ORAL AND MAXILLOFACIAL SURGERY

NPI: 1811670631 · BOISE, ID 83716 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 08/09/2023

$19K
Total Medicaid Paid
556
Total Claims
314
Beneficiary Records
7
Codes Billed
2024-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialRUPP, STUART (OWNER)
NPI Enumeration Date08/09/2023

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2024 556 $19K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D7230 38 20 $8K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 220 41 $7K
D0330 Panoramic radiographic image 48 48 $2K
D0140 Limited oral evaluation - problem focused 108 108 $1K
D9222 39 39 $0.00
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 84 39 $0.00
D9610 19 19 $0.00