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
RAPID CITY, SD 57701
33aNPI1063486926assigned 02/15/2006
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$3.18M
24GClaims22,564
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 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 | |
|---|---|---|---|
| 2018 | 2,153 | $189K | |
| 2019 | 2,537 | $254K | |
| 2020 | 1,290 | $137K | |
| 2021 | 2,994 | $349K | |
| 2022 | 4,333 | $536K | |
| 2023 | 4,041 | $616K | |
| 2024incomplete | 5,216 | $1.09M |
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 | 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)