Dental
Foothills Oral and Maxillofacial Surgery, PC
Foothills Oral and Maxillofacial Surgery, PC was paid $102K by Medicaid between Jan 2018 and Oct 2021, across 9 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 31% of everything it billed.
33Billing provider infoFOOTHILLS ORAL AND MAXILLOFACIAL SURGERY, PC
LENOIR CITY, TN 37771
LENOIR CITY, TN 37771
33aNPI1154407088assigned 10/31/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$102K
24GClaims1,452
24DCodes billed9
24AFirst – last monthJan 2018 – Oct 2021
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Tennessee
Rank by total paid#37 of 58
Median peer was paid$274K
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
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 | 486 | $44K | |
| 2019 | 363 | $31K | |
| 2020 | 262 | $12K | |
| 2021 | 341 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 31% | 391 | 298 | $32K |
| D9222 | 24% | 283 | 278 | $24K | |
| D7230 | 15% | 87 | 25 | $15K | |
| D7240 | Removal of impacted tooth - completely bony | 14% | 64 | 26 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.4% | 226 | 225 | $7K |
| D0140 | Limited oral evaluation - problem focused | 5.7% | 240 | 236 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 2.8% | 42 | 14 | $3K |
| D0330 | Panoramic radiographic image | <1% | 25 | 25 | $768.30 |
| D1999 | 0% | 94 | 91 | $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 officialGROSS, KEVIN (DDS/OWNER)
| Provider | Location | Paid |
|---|---|---|
| DR. Kevin J. Gross Optometry P.A. | Scottsboro, AL | $13K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.