MCDONALD ORAL AND MAXILLOFACIAL SURGERY, LLC
NPI: 1538552625
· FLORENCE, SC 29505
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 03/12/2015
$227K
Total Medicaid Paid
Provider Details
Related Entities
Other providers sharing the same authorized official: MCDONALD, THOMAS
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
906 |
$68K |
| 2019 |
527 |
$31K |
| 2020 |
283 |
$17K |
| 2021 |
89 |
$3K |
| 2022 |
400 |
$21K |
| 2023 |
667 |
$43K |
| 2024 |
504 |
$43K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7140 |
Extraction, erupted tooth or exposed root |
717 |
211 |
$61K |
| D0140 |
Limited oral evaluation - problem focused |
1,385 |
1,385 |
$52K |
| D0330 |
Panoramic radiographic image |
630 |
630 |
$32K |
| D7240 |
Removal of impacted tooth - completely bony |
94 |
29 |
$26K |
| D9222 |
|
236 |
236 |
$24K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
241 |
236 |
$22K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
73 |
52 |
$10K |