Clinic
Logan Oral Surgery
Logan Oral Surgery was paid $53K by Medicaid between Jan 2018 and Aug 2022, across 4 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 93% of everything it billed.
33Billing provider infoLOGAN ORAL SURGERY
NORTH LOGAN, UT 84341
NORTH LOGAN, UT 84341
33aNPI1598024341assigned 05/15/2012
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$53K
24GClaims501
24DCodes billed4
24AFirst – last monthJan 2018 – Aug 2022
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 | |
|---|---|---|---|
| 2018 | 241 | $22K | |
| 2021 | 27 | $603.92 | |
| 2022 | 233 | $31K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 93% | 211 | 66 | $50K |
| D0140 | Limited oral evaluation - problem focused | 7.2% | 163 | 158 | $4K |
| D9222 | 0% | 29 | 29 | $0.00 | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 0% | 98 | 57 | $0.00 |
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 officialMATSON, SCOTT (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Womens Health Center TN | Tazewell, TN | $1.06M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.