NLR ORAL & MAXILLOFACIAL SURGERY PLLC
NPI: 1063591063
· NO. LITTLE ROCK, AR 72116
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/02/2006
$1.85M
Total Medicaid Paid
10,389
Beneficiary Records
Provider Details
| Authorized Official | KEENE, ROBERT (PARTNER) |
| NPI Enumeration Date | 11/02/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2018 |
2,506 |
$271K |
| 2019 |
3,108 |
$404K |
| 2020 |
1,819 |
$232K |
| 2021 |
2,313 |
$268K |
| 2022 |
2,699 |
$307K |
| 2023 |
2,578 |
$302K |
| 2024 |
720 |
$64K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
| D7240 |
Removal of impacted tooth - completely bony |
4,713 |
1,481 |
$1.18M |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
3,827 |
2,068 |
$303K |
| D9222 |
|
2,182 |
2,063 |
$193K |
| D0140 |
Limited oral evaluation - problem focused |
2,671 |
2,523 |
$85K |
| D0330 |
Panoramic radiographic image |
2,296 |
2,218 |
$74K |
| D7230 |
|
41 |
24 |
$10K |
| D0120 |
Periodic oral evaluation - established patient |
13 |
12 |
$245.24 |