Medicaid Provider Spending

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

MAXILLOFACIAL SURGERY CENTER OF HUNTSVILLE, INC.

NPI: 1972716710 · HUNTSVILLE, AL 35801 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 05/08/2007

$209K
Total Medicaid Paid
1,881
Total Claims
1,237
Beneficiaries
4
Codes Billed
2023-03
First Month
2024-10
Last Month

Provider Details

Authorized OfficialKAMELCHUK, LEROY (DDS MD)
NPI Enumeration Date05/08/2007

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 962 $114K
2024 919 $96K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7240 Removal of impacted tooth - completely bony 724 196 $148K
D9222 342 315 $50K
D0140 Limited oral evaluation - problem focused 463 412 $12K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 352 314 $0.00