NPI: 1134780364 · FLORENCE, SC 29506 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 06/27/2019
Authorized official BEASLEY, KENNETH controls 20+ related entities in our dataset. Read more
| Authorized Official | BEASLEY, KENNETH (SENIOR VICE PRESIDENT) |
| Parent Organization | MCLEOD HEALTH |
| NPI Enumeration Date | 06/27/2019 |
Other providers sharing the same authorized official: BEASLEY, KENNETH
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 31 | $1K |
| 2020 | 1,262 | $116K |
| 2021 | 899 | $65K |
| 2022 | 461 | $35K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 930 | 243 | $99K |
| D7240 | Removal of impacted tooth - completely bony | 160 | 49 | $42K |
| D0330 | Panoramic radiographic image | 573 | 573 | $28K |
| D0150 | Comprehensive oral evaluation - new or established patient | 724 | 724 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 137 | 40 | $12K |
| D9222 | 45 | 45 | $4K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 43 | 43 | $4K |
| D0140 | Limited oral evaluation - problem focused | 41 | 41 | $1K |