ETERN PARK, DDS, MD
Oral and Maxillofacial Surgery (Dentist) · FARGO, ND
Individual Active NPI 1124289905
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 78 | 121 | $41,646 | $11,371 | $8,723 |
| 2023 | 114 | 216 | $82,912 | $27,659 | $21,630 |
| 2022 | 79 | 176 | $66,903 | $26,799 | $20,409 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 42 | $34 | $25 |
| 99202 | New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | 23 | $46 | $29 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | ✓ | 053210 | NY |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2503 | ND | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | C1-0011804 | DE | |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | G3-0000458 | DE | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 21037 | ND | |
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 269333 | NY |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Oral and Maxillofacial Surgery (Dentist) providers in North Dakota
- NPI 1629147723
- NPI 1043847874
- NPI 1295804300
- NPI 1548454085
- NPI 1508048521
- NPI 1538147848
- NPI 1467487298
- NPI 1598763120
See all Oral and Maxillofacial Surgery (Dentist) providers in North Dakota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.