Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers
Home › IA › DUBUQUE › GREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC

GREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC

NPI: 1992799811 · DUBUQUE, IA 52003 · Oral and Maxillofacial Surgery Clinic/Center · NPI assigned 09/07/2005

$202K
Total Medicaid Paid
3,668
Total Claims
2,667
Beneficiaries
6
Codes Billed
2018-01
First Month
2022-03
Last Month

Provider Details

Authorized OfficialWILLIAMS, THOMAS (PRESIDENT)
NPI Enumeration Date09/07/2005

Related Entities

Other providers sharing the same authorized official: WILLIAMS, THOMAS

ProviderCityStateTotal Paid
SATELLITE HEALTHCARE INC MODESTO CA $2.50M
MUSCATINE COMMUNITY SCHOOL DISTRICT MUSCATINE IA $2.27M
WILLIAMS & PEARCE FAMILY DENTAL SC RICHLAND CENTER WI $1.09M
TURNING POINT CENTER LLC EUGENE OR $109K
SATELLITE HEALTHCARE CENTRAL STATES, LLC LAREDO TX $87K
SATELLITE HEALTHCARE CENTRAL STATES, LLC LAREDO TX $70K
ARKANSAS VALLEY ANESTHESIA ASSOCIATES, P. A. RUSSELLVILLE AR $25K
LAKESHORE FAMILY MEDICINE ASSOCIATES, APMC MONROE LA $8K
BLOOM TOWNSHIP TRUSTEES CARROLL OH $2K
ASBURY PARK, INC. NEWTON KS $0.00

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 643 $37K
2019 488 $21K
2020 544 $29K
2021 1,181 $62K
2022 812 $53K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 1,203 437 $101K
D0140 Limited oral evaluation - problem focused 1,202 1,167 $32K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 459 355 $30K
D9222 390 356 $28K
D7240 Removal of impacted tooth - completely bony 41 12 $8K
D9610 373 340 $3K