LOGAN ORAL SURGERY
NPI: 1598024341
· NORTH LOGAN, UT 84341
· Oral and Maxillofacial Surgery Clinic/Center
· NPI assigned 05/15/2012
Provider Details
| Authorized Official | MATSON, SCOTT (OWNER) |
| NPI Enumeration Date | 05/15/2012 |
Related Entities
Other providers sharing the same authorized official: MATSON, SCOTT
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
241 |
$22K |
| 2021 |
27 |
$603.92 |
| 2022 |
233 |
$31K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
211 |
66 |
$50K |
| D0140 |
Limited oral evaluation - problem focused |
163 |
158 |
$4K |
| D9222 |
|
29 |
29 |
$0.00 |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
98 |
57 |
$0.00 |