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DFW ORAL AND MAXILLOFACIAL SURGERY ENNIS, LLC
DFW ORAL AND MAXILLOFACIAL SURGERY ENNIS, LLC
NPI: 1518389212
· ENNIS, TX 75119
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 01/15/2014
$460K
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 |
70 |
$3K |
| 2021 |
1,577 |
$138K |
| 2022 |
1,820 |
$151K |
| 2023 |
1,779 |
$152K |
| 2024 |
589 |
$16K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,073 |
362 |
$296K |
| D0330 |
Panoramic radiographic image |
1,133 |
1,116 |
$64K |
| D0150 |
Comprehensive oral evaluation - new or established patient |
1,127 |
1,112 |
$36K |
| D9222 |
|
540 |
535 |
$31K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
657 |
497 |
$27K |
| D9612 |
|
192 |
190 |
$7K |
| D0602 |
|
1,113 |
1,109 |
$0.00 |