BRETT SHIRLEY DDS MD PLLC
NPI: 1891264024
· NACOGDOCHES, TX 75965
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 11/16/2018
$466K
Total Medicaid Paid
Provider Details
| Authorized Official | SHIRLEY, BRETT (OWNER) |
| NPI Enumeration Date | 11/16/2018 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2022 |
1,894 |
$223K |
| 2023 |
1,910 |
$213K |
| 2024 |
316 |
$30K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D7240 |
Removal of impacted tooth - completely bony |
1,341 |
428 |
$352K |
| D0330 |
Panoramic radiographic image |
848 |
837 |
$52K |
| D9222 |
|
491 |
482 |
$27K |
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
491 |
482 |
$20K |
| D9310 |
|
895 |
889 |
$12K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
42 |
27 |
$4K |
| D0367 |
|
12 |
12 |
$400.00 |