Clinic
Plaistow Dental Implant and Oral Surgery Center
Plaistow Dental Implant and Oral Surgery Center was paid $260K by Medicaid between Jul 2021 and Dec 2024, across 5 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 41% of everything it billed.
33Billing provider infoPLAISTOW DENTAL IMPLANT AND ORAL SURGERY CENTER
PLAISTOW, NH 03865
PLAISTOW, NH 03865
33aNPI1104430131assigned 09/08/2020
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$260K
24GClaims1,914
24DCodes billed5
24AFirst – last monthJul 2021 – 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 | |
|---|---|---|---|
| 2021 | 13 | $621.92 | |
| 2022 | 251 | $16K | |
| 2023 | 860 | $118K | |
| 2024incomplete | 790 | $126K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 41% | 437 | 140 | $107K |
| D9222 | 30% | 329 | 311 | $78K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 17% | 572 | 313 | $45K |
| D0140 | Limited oral evaluation - problem focused | 10.0% | 550 | 513 | $26K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.3% | 26 | 15 | $3K |
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 officialSTIEFEL, KYLE (OWNER/DOCTOR)