Medicaid Provider Spending

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

DEITRICK, PAUL

NPI: 1851527600 · VOORHEES, NJ 08043 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/08/2009

$77K
Total Medicaid Paid
1,164
Total Claims
1,108
Beneficiaries
6
Codes Billed
2020-10
First Month
2024-10
Last Month

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 280 $11K
2021 655 $27K
2022 37 $1K
2024 192 $37K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 444 430 $24K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 109 84 $20K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 55 53 $14K
70355 394 381 $10K
D9222 55 53 $6K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 107 107 $4K