Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
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KOKOMO IMPLANT AND ORAL SURGERY, LLC

NPI: 1992159552 · KOKOMO, IN 46901 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 04/20/2016

$122K
Total Medicaid Paid
1,402
Total Claims
952
Beneficiary Records
6
Codes Billed
2018-02
First Month
2023-01
Last Month

Provider Details

Authorized OfficialBEARD, WENDY (OFFICE MANAGER)
NPI Enumeration Date04/20/2016

Related Entities

Other providers sharing the same authorized official: BEARD, WENDY

ProviderCityStateTotal Paid
RICHMOND ORAL & MAXILLOFACIAL SURGERY,LLC RICHMOND IN $4.16M
GARRISON & PARTRIDGE NORTHEAST ORAL AND MAXILLOF INDIANAPOLIS IN $318K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 255 $5K
2019 591 $62K
2020 216 $19K
2021 241 $33K
2022 82 $3K
2023 17 $656.28

Billing Codes

CodeDescriptionClaimsBene. RecordsTotal Paid
D7240 Removal of impacted tooth - completely bony 160 48 $51K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 314 80 $44K
D0140 Limited oral evaluation - problem focused 812 748 $26K
D9243 37 12 $426.48
D9610 65 51 $0.00
D9612 14 13 $0.00