Mclean Oral & Maxillofacial Surgery

Mclean Oral & Maxillofacial Surgery was paid $36K by Medicaid between Jun 2022 and Nov 2023, across 6 billing codes. Its largest line is D9310, — 47% of everything it billed.

33Billing provider infoMCLEAN ORAL & MAXILLOFACIAL SURGERY
MC LEAN, VA 22101

33aNPI1760673214assigned 08/08/2007

33bProvider typeExclusive Provider Organization

28Total paid$36K

24GClaims442

24DCodes billed6

24AFirst – last monthJun 2022 – Nov 2023

Compared with peers

Next to other Exclusive Provider Organization providers in Virginia

Rank by total paid#12 of 15

Median peer was paid$131K

This provider vs. median0.3×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2022	264	$24K
2023	178	$12K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9310		47%	200	200	$17K
D0330	Panoramic radiographic image	22%	131	131	$8K
D7240	Removal of impacted tooth - completely bony	18%	28	13	$7K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	9.6%	58	13	$3K
D9222		2.1%	13	13	$748.80
D9610		<1%	12	12	$206.64

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.

From NPPES

Who's on the registration

Authorized officialFORETICH, ERIC (OWNER)