NPI: 1700538907 · CENTERTON, AR 72719 · Oral & Maxillofacial Surgery (D.M.D.) · NPI assigned 01/19/2022
| Authorized Official | MCSHANE, MATT (OWNER) |
| NPI Enumeration Date | 01/19/2022 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 1,145 | $153K |
| 2023 | 1,407 | $212K |
| 2024 | 1,163 | $175K |
| 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 |