MATT MCSHANE DDS PLLC
NPI: 1700538907
· CENTERTON, AR 72719
· Oral & Maxillofacial Surgery (D.M.D.)
· NPI assigned 01/19/2022
$541K
Total Medicaid Paid
Provider Details
| Authorized Official | MCSHANE, MATT (OWNER) |
| NPI Enumeration Date | 01/19/2022 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,145 |
$153K |
| 2023 |
1,407 |
$212K |
| 2024 |
1,163 |
$175K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,719 |
494 |
$427K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
623 |
374 |
$54K |
| D9222 |
|
389 |
375 |
$34K |
| D0140 |
Limited oral evaluation - problem focused |
880 |
846 |
$26K |
| D9612 |
|
104 |
100 |
$556.70 |