Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › SD › Rapid City › NPI 1063486926
Dental

Black Hills Oral & Maxillofacial Surgery PC

Black Hills Oral & Maxillofacial Surgery PC was paid $3.18M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 29% of everything it billed.

33Billing provider infoBLACK HILLS ORAL & MAXILLOFACIAL SURGERY PC
RAPID CITY, SD 57701
33aNPI1063486926assigned 02/15/2006
28Total paid$3.18M
24GClaims22,564
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
20182,153$189K
20192,537$254K
20201,290$137K
20212,994$349K
20224,333$536K
20234,041$616K
2024incomplete5,216$1.09M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 29% 5,370 2,032 $911K
D7240 Removal of impacted tooth - completely bony 21% 2,123 869 $668K
D9222 12% 2,859 2,818 $382K
D7140 Extraction, erupted tooth or exposed root 9.7% 3,308 993 $309K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 8.5% 2,171 1,797 $271K
D7230 7.4% 898 520 $237K
D0140 Limited oral evaluation - problem focused 6.3% 4,380 4,338 $201K
70486 6.1% 1,442 1,418 $194K
D0330 Panoramic radiographic image <1% 13 13 $753.80

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 officialWILSON, ROGER (PRESIDENT)