Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Ky TN Oral Surgery PLLC

Ky TN Oral Surgery PLLC was paid $77K by Medicaid between Jan 2018 and Jun 2022, across 6 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 50% of everything it billed.

33Billing provider infoKY TN ORAL SURGERY PLLC
MURRAY, KY 42071
33aNPI1093077166assigned 06/13/2012
28Total paid$77K
24GClaims1,277
24DCodes billed6
24AFirst – last monthJan 2018 – Jun 2022
Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Kentucky

Rank by total paid#32 of 48
Median peer was paid$214K
This provider vs. median0.4×

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

$0$5.0K$10K$15K2018201920202021202220232024
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
2018170$9K
2019477$35K
2020164$9K
2021212$11K
2022254$14K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 50% 451 207 $38K
D9222 23% 199 193 $17K
D0140 Limited oral evaluation - problem focused 17% 556 554 $13K
D7240 Removal of impacted tooth - completely bony 9.8% 33 13 $8K
D9610 <1% 12 12 $304.20
D0330 Panoramic radiographic image <1% 26 26 $248.65

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 officialBOBO, MICHAEL (PARTNER/ MEMBER)
Same official

Other billing entities under BOBO, MICHAEL

Full network →
ProviderLocationPaid
Michael L Bobo, DDS, MD, PSCUnion City, TN$77K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.