Dental
Southern Kentucky Oral Surgery Associates PLLC
Southern Kentucky Oral Surgery Associates PLLC was paid $1.14M by Medicaid between May 2020 and May 2023, across 11 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 34% of everything it billed.
33Billing provider infoSOUTHERN KENTUCKY ORAL SURGERY ASSOCIATES PLLC
BOWLING GREEN, KY 42104
BOWLING GREEN, KY 42104
33aNPI1013104892assigned 09/26/2007
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$1.14M
24GClaims14,944
24DCodes billed11
24AFirst – last monthMay 2020 – May 2023
Compared with peers
Next to other Oral and Maxillofacial Pathology Dentist providers in Kentucky
Rank by total paid#2 of 9
Median peer was paid$98K
This provider vs. median12×
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 | |
|---|---|---|---|
| 2020 | 3,613 | $228K | |
| 2021 | 2,414 | $154K | |
| 2022 | 5,024 | $329K | |
| 2023 | 3,893 | $424K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 34% | 3,864 | 985 | $381K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 26% | 3,106 | 1,473 | $290K |
| D9222 | 12% | 1,516 | 1,482 | $137K | |
| D9610 | 10.0% | 3,729 | 1,412 | $113K | |
| D7240 | Removal of impacted tooth - completely bony | 8.5% | 465 | 166 | $96K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 1,162 | 1,152 | $56K |
| D0330 | Panoramic radiographic image | 3.6% | 880 | 871 | $41K |
| D7250 | 1.8% | 143 | 41 | $20K | |
| D9612 | <1% | 36 | 36 | $2K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | 0% | 16 | 12 | $0.00 |
| D1999 | 0% | 27 | 25 | $0.00 |
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 officialALVEY, VICKIE (CREDENTIALING COORDINATOR)