Physician
Sudheer J Surpure MD DDS INC
Sudheer J Surpure MD DDS INC was paid $105K by Medicaid between Aug 2023 and Nov 2024, across 6 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 35% of everything it billed.
33Billing provider infoSUDHEER J SURPURE MD DDS INC
FLAGSTAFF, AZ 86001
FLAGSTAFF, AZ 86001
33aNPI1023609062assigned 02/02/2021
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$105K
24GClaims777
24DCodes billed6
24AFirst – last monthAug 2023 – Nov 2024
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 | |
|---|---|---|---|
| 2023 | 44 | $4K | |
| 2024incomplete | 733 | $101K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 35% | 98 | 29 | $37K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 35% | 285 | 71 | $37K |
| D9310 | 12% | 165 | 162 | $13K | |
| D9222 | 9.7% | 55 | 55 | $10K | |
| D0330 | Panoramic radiographic image | 6.6% | 120 | 117 | $7K |
| D9612 | 1.2% | 54 | 54 | $1K |
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 officialSURPURE, SUDHEER (PRESIDENT)