Medicaid Provider Spending

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

OMFS ENTERPRISES PLLC

NPI: 1821584681 · ROCHESTER HILLS, MI 48307 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 07/05/2018

$87K
Total Medicaid Paid
702
Total Claims
493
Beneficiaries
8
Codes Billed
2021-09
First Month
2024-12
Last Month

Provider Details

Authorized OfficialTIEU, DIANA (INSURANCE BILLER)
NPI Enumeration Date07/05/2018

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2021 29 $2K
2023 99 $21K
2024 574 $64K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 169 87 $30K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 150 50 $18K
D0150 Comprehensive oral evaluation - new or established patient 216 216 $13K
D7240 Removal of impacted tooth - completely bony 30 12 $9K
D9222 50 50 $7K
D7230 21 12 $5K
D9310 41 41 $3K
D0330 Panoramic radiographic image 25 25 $2K