Clinic
All Out Wisdom Teeth, LLC
All Out Wisdom Teeth, LLC was paid $103K by Medicaid between Sep 2022 and Jan 2024, across 8 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 38% of everything it billed.
33Billing provider infoALL OUT WISDOM TEETH, LLC
SAINT GEORGE, UT 84790
SAINT GEORGE, UT 84790
33aNPI1083289128assigned 05/21/2021
33bProvider typeDental Clinic/Center
28Total paid$103K
24GClaims2,930
24DCodes billed8
24AFirst – last monthSep 2022 – Jan 2024
Compared with peers
Next to other Dental Clinic/Center providers in Utah
Rank by total paid#18 of 37
Median peer was paid$90K
This provider vs. median1.1×
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 | |
|---|---|---|---|
| 2022 | 586 | $23K | |
| 2023 | 2,298 | $78K | |
| 2024incomplete | 46 | $1K |
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 | 38% | 776 | 258 | $39K |
| D0330 | Panoramic radiographic image | 17% | 568 | 479 | $17K |
| D0140 | Limited oral evaluation - problem focused | 14% | 534 | 447 | $14K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 13% | 298 | 201 | $14K |
| D9222 | 10% | 240 | 208 | $10K | |
| D7240 | Removal of impacted tooth - completely bony | 7.5% | 94 | 30 | $8K |
| D9612 | <1% | 249 | 209 | $544.00 | |
| D7921 | 0% | 171 | 140 | $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 officialEMETT, JASON (MANAGER)