Clinic
Southeastern Minnesota Oral & Maxillofacial Surgery Associates
Southeastern Minnesota Oral & Maxillofacial Surgery Associates was paid $1K by Medicaid between Apr 2018 and Feb 2019, across 1 billing code. Its largest line is D0140, Limited oral evaluation - problem focused — 100% of everything it billed.
33Billing provider infoSOUTHEASTERN MINNESOTA ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
MANKATO, MN 56001
MANKATO, MN 56001
33aNPI1144413782assigned 08/27/2007
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$1K
24GClaims55
24DCodes billed1
24AFirst – last monthApr 2018 – Feb 2019
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 25 | $566.91 | |
| 2019 | 30 | $573.96 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0140 | Limited oral evaluation - problem focused | 100% | 55 | 54 | $1K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialNUSTAD, ROBERT (VP, TREASURER)