Medicaid Provider Spending

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

IMMEDIATE SMILES

NPI: 1912640145 · OKLAHOMA CITY, OK 73170 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/15/2022

$13K
Total Medicaid Paid
146
Total Claims
146
Beneficiaries
4
Codes Billed
2023-07
First Month
2024-01
Last Month

Provider Details

Authorized OfficialBROOKS, PERRY (OWNER)
NPI Enumeration Date04/15/2022

Related Entities

Other providers sharing the same authorized official: BROOKS, PERRY

ProviderCityStateTotal Paid
BROOKS SURGICAL ARTS, PLLC NORMAN OK $90K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 109 $10K
2024 37 $3K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 51 51 $7K
D9222 53 53 $4K
D9310 30 30 $1K
D9610 12 12 $365.88