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SOUTHERN MARYLAND ORAL & MAXILLOFACIAL SURGERY
SOUTHERN MARYLAND ORAL & MAXILLOFACIAL SURGERY
NPI: 1174559298
· WALDORF, MD 20602
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 06/23/2006
$169K
Total Medicaid Paid
Provider Details
| Authorized Official | HEFFRON, JOHN (PRESIDENT) |
| NPI Enumeration Date | 06/23/2006 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
82 |
$3K |
| 2019 |
132 |
$5K |
| 2020 |
141 |
$18K |
| 2021 |
89 |
$3K |
| 2022 |
264 |
$27K |
| 2023 |
497 |
$55K |
| 2024 |
359 |
$57K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
277 |
85 |
$79K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
199 |
197 |
$38K |
| D0140 |
Limited oral evaluation - problem focused |
850 |
798 |
$36K |
| D9222 |
|
200 |
197 |
$15K |
| D0330 |
Panoramic radiographic image |
26 |
26 |
$1K |
| D9310 |
|
12 |
12 |
$576.00 |