Columbia Oral Maxillofacial Imaging LLC

Columbia Oral Maxillofacial Imaging LLC was paid $19.42M by Medicaid between Jan 2018 and Dec 2024, across 50 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 19% of everything it billed.

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	85,515	$2.82M
2019	101,203	$3.40M
2020	95,813	$3.23M
2021	120,708	$2.87M
2022	72,541	$2.29M
2023	63,641	$2.88M
2024incomplete	35,091	$1.94M

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	19%	64,887	18,678	$3.75M
D7250		11%	20,200	6,413	$2.10M
D0140	Limited oral evaluation - problem focused	10.0%	88,198	72,802	$1.94M
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	5.1%	15,537	7,707	$987K
D7230		4.9%	6,927	3,174	$957K
D1120	Dental cleaning, childProphylaxis - child	4.5%	22,417	20,015	$871K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	4.2%	36,262	31,993	$822K
D0330	Panoramic radiographic image	4.1%	37,085	22,738	$795K
D0150	Comprehensive oral evaluation - new or established patient	4.0%	32,568	21,075	$779K
D1110	Prophylaxis - adult	3.8%	27,422	23,780	$742K
D0274	Bitewings - four radiographic images	3.5%	27,962	24,019	$680K
D1208	Topical application of fluoride, excluding varnish	2.9%	26,507	23,315	$557K

38 more codes

D0220	Intraoral - periapical first radiographic image	2.7%	59,504	$518K
D0210	Intraoral - complete series of radiographic images	2.0%	10,207	$383K
D2391	Resin-based composite - one surface, posterior, primary or permanent	1.8%	7,900	$351K
D7140	Extraction, erupted tooth or exposed root	1.7%	7,758	$335K
D7240	Removal of impacted tooth - completely bony	1.6%	2,984	$307K
D3330	Endodontic therapy, molar tooth (excluding final restoration)	1.5%	1,011	$301K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	1.5%	8,448	$291K
D8670	Periodic orthodontic treatment visit	1.3%	3,815	$260K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	1.2%	3,668	$241K
D7220		1.2%	1,861	$224K
D0230	Intraoral - periapical each additional radiographic image	<1%	23,736	$172K
D9310		<1%	8,318	$132K
D2335		<1%	1,447	$123K
D0272	Bitewings - two radiographic images	<1%	4,448	$121K
D2332		<1%	1,302	$96K
D1206	Topical application of fluoride varnish	<1%	3,717	$78K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	1,373	$73K
D2950		<1%	2,504	$64K
D5110		<1%	150	$62K
D1351	Sealant - per tooth	<1%	1,657	$55K
D2394		<1%	525	$42K
D0270		<1%	8,720	$42K
D8660		<1%	1,347	$33K
D2751	Crown - porcelain fused to predominantly base metal	<1%	125	$24K
D2140		<1%	504	$23K
D3320		<1%	48	$16K
D2330		<1%	355	$16K
D2954		<1%	165	$16K
D2160		<1%	196	$14K
D2331		<1%	231	$13K
D2940		<1%	227	$5K
D3310		<1%	19	$5K
D2791		<1%	17	$4K
D2930	Prefabricated stainless steel crown - primary tooth	<1%	12	$2K
D7510		<1%	18	$486.72
D0160		<1%	25	$254.00
D0603		0%	95	$0.00
D0602		0%	103	$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 officialKHAN, BIBI (PRACTICE MANAGER)