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DFW ORAL AND MAXILLOFACIAL SURGERY MESQUITE, LLC
DFW ORAL AND MAXILLOFACIAL SURGERY MESQUITE, LLC
NPI: 1265854988
· MESQUITE, TX 75150
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/15/2014
$1.27M
Total Medicaid Paid
Provider Details
| Authorized Official | FRANCO, PEDRO (PRESIDENT) |
| NPI Enumeration Date | 01/15/2014 |
Related Entities
Other providers sharing the same authorized official: FRANCO, PEDRO
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2020 |
309 |
$25K |
| 2021 |
3,601 |
$326K |
| 2022 |
3,072 |
$258K |
| 2023 |
3,867 |
$350K |
| 2024 |
3,815 |
$312K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
2,968 |
1,006 |
$829K |
| D0330 |
Panoramic radiographic image |
2,520 |
2,481 |
$147K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
2,519 |
2,484 |
$82K |
| D9222 |
|
1,374 |
1,365 |
$78K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
1,865 |
1,323 |
$73K |
| D7230 |
|
145 |
90 |
$24K |
| D9612 |
|
614 |
611 |
$22K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
172 |
104 |
$17K |
| D0602 |
|
2,487 |
2,477 |
$0.00 |