OFS-SHOALS, LLC
NPI: 1609649177
· FLORENCE, AL 35630
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/06/2023
Provider Details
| Authorized Official | MCILWAIN, MARK (OWNER/ ORAL SURGEON) |
| NPI Enumeration Date | 11/06/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
382 |
$26K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
108 |
31 |
$13K |
| D9310 |
|
81 |
78 |
$5K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
74 |
60 |
$3K |
| D9222 |
|
69 |
60 |
$3K |
| D0330 |
Panoramic radiographic image |
13 |
12 |
$594.00 |
| D0140 |
Limited oral evaluation - problem focused |
37 |
28 |
$0.00 |