ORAL AND MAXILLOFACIAL SURGERY ASSOCIATE OF NEW MEXICO, P.A.

NPI: 1689876963 · ALBUQUERQUE, NM 87109 · Oral and Maxillofacial Surgery (Dentist) · NPI assigned 05/31/2007

Billing Flags · Automated signals — not evidence of fraud

Entity Proliferation

Authorized official MITCHELL, JOHN controls 20+ related entities in our dataset. Read more

$49K

Total Medicaid Paid

1,072

Total Claims

974

Beneficiaries

Codes Billed

2018-01

First Month

2022-08

Last Month

Provider Details

Authorized Official	MITCHELL, JOHN (MANAGING PARTNER)
NPI Enumeration Date	05/31/2007

Other providers sharing the same authorized official: MITCHELL, JOHN

Provider	City	State	Total Paid
MITCHELL DENTAL CLINIC, INC	MACON	MS	$1.63M
MITCHELL DENTAL CLINIC, INC	ACKERMAN	MS	$969K
BALBOA HEALTHCARE, INC.	SAN DIEGO	CA	$812K
CANTALOUPE HOLDINGS, LLC	SANTA MONICA	CA	$737K
PLEASANT HILLIDENCE OPCO, LLC	PLEASANT HILL	CA	$617K
WEST VALLEYIDENCE OPCO, LLC	WEST HILLS	CA	$454K
KUMQUAT HOLDINGS, LLC	INGLEWOOD	CA	$119K
MITCHELL DENTAL CLINIC, INC	FLOWOOD	MS	$86K
CUCUMBER HOLDINGS, LLC	CHATSWORTH	CA	$68K
ONTARIOIDENCE OPCO, LLC	ONTARIO	CA	$51K
DRAGONFRUIT HOLDINGS, LLC	SAN JOSE	CA	$50K
PETUNIA HOLDINGS, LLC	NAPA	CA	$45K
MAGNOLIA HOLDINGS, LLC	ANDERSON	CA	$32K
DOUGLAS FIR HOLDINGS, LLC	HUNTINGTON BEACH	CA	$24K
PETALUMAIDENCE OPCO, LLC	PETALUMA	CA	$18K
NAPAIDENCE OPCO, LLC	NAPA	CA	$17K
NORWAY MAPLE HOLDINGS, LLC	NEWPORT BEACH	CA	$16K
SANTA ROSAIDENCE OPCO, LLC	SANTA ROSA	CA	$15K
SPRUCE HOLDINGS, LLC	VISALIA	CA	$12K
NIGHTSHADE HOLDINGS, LLC	UKIAH	CA	$10K

Code	Description	Claims	Beneficiaries	Total Paid
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	279	202	$17K
D9222		222	222	$13K
D0140	Limited oral evaluation - problem focused	388	388	$11K
D9610		136	136	$3K
D7230		19	12	$3K
D7140	Extraction, erupted tooth or exposed root	28	14	$2K