Medicaid Provider Spending

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

INLAND ORAL SURGERY P.S.

NPI: 1982965976 · SPOKANE, WA 99203 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/06/2012

$10K
Total Medicaid Paid
89
Total Claims
85
Beneficiary Records
4
Codes Billed
2020-07
First Month
2023-12
Last Month

Provider Details

Authorized OfficialCRUM, W. DALE (OWNER)
Parent OrganizationINLAND ORAL SURGERY P.S.
NPI Enumeration Date06/06/2012

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2020 24 $395.38
2023 65 $9K

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 28 24 $7K
D9222 24 24 $2K
D0140 Limited oral evaluation - problem focused 25 25 $483.47
D0330 Panoramic radiographic image 12 12 $191.59