ST. MARY'S SPECIALTY LLC
NPI: 1831730670
· RUSSELLVILLE, AR 72801
· Anesthesiology Physician
· NPI assigned 10/02/2019
Billing Flags
· Automated signals — not evidence of fraud
Entity Proliferation
Authorized official DILLON, TERRANCE controls 20+ related entities in our dataset. Read more
$136K
Total Medicaid Paid
Provider Details
| Authorized Official | DILLON, TERRANCE (ASSISTANT SECRETARY) |
| NPI Enumeration Date | 10/02/2019 |
Related Entities
Other providers sharing the same authorized official: DILLON, TERRANCE
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
| 2019 |
73 |
$3K |
| 2020 |
178 |
$23K |
| 2021 |
185 |
$29K |
| 2022 |
165 |
$27K |
| 2023 |
235 |
$36K |
| 2024 |
114 |
$17K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
| 00170 |
Anesthesia for intraoral procedures, including biopsy |
950 |
889 |
$136K |