Clinic
Eastern Shore Oral, Facial and Implant Surgery Center, P.C.
Eastern Shore Oral, Facial and Implant Surgery Center, P.C. was paid $56K by Medicaid between Jan 2019 and Oct 2024, across 4 billing codes. Its largest line is D9222, — 50% of everything it billed.
33Billing provider infoEASTERN SHORE ORAL, FACIAL AND IMPLANT SURGERY CENTER, P.C.
FAIRHOPE, AL 36532
FAIRHOPE, AL 36532
33aNPI1568985349assigned 07/24/2017
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$56K
24GClaims923
24DCodes billed4
24AFirst – last monthJan 2019 – Oct 2024
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 | |
|---|---|---|---|
| 2019 | 94 | $4K | |
| 2020 | 62 | $4K | |
| 2021 | 163 | $10K | |
| 2022 | 128 | $5K | |
| 2023 | 111 | $9K | |
| 2024incomplete | 365 | $24K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9222 | 50% | 229 | 216 | $28K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 26% | 180 | 131 | $15K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 409 | 365 | $8K |
| D7140 | Extraction, erupted tooth or exposed root | 10% | 105 | 38 | $6K |
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 officialCORDERO, RICHARD (OWNER/ SURGEON)