Medicaid Provider Spending

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

CASA GRANDE ORAL AND MAXILLOFACIAL SURGERY, P.C.

NPI: 1851569693 · CASA GRANDE, AZ 85122 · Dental Clinic/Center · NPI assigned 02/14/2008

$95K
Total Medicaid Paid
2,731
Total Claims
2,416
Beneficiaries
6
Codes Billed
2018-01
First Month
2024-10
Last Month

Provider Details

Authorized OfficialCULL, JEREMY (PRESIDENT)
NPI Enumeration Date02/14/2008

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 334 $13K
2019 610 $30K
2020 716 $38K
2021 398 $15K
2022 284 $0.00
2023 217 $0.00
2024 172 $0.00

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D0140 Limited oral evaluation - problem focused 1,498 1,428 $29K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 358 235 $24K
D9222 244 232 $17K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 140 65 $14K
D0330 Panoramic radiographic image 302 274 $9K
D9610 189 182 $2K