Wichita Oral Surgery LLC

Wichita Oral Surgery LLC was paid $527K by Medicaid between Nov 2019 and Nov 2024, across 11 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 31% 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
2019	27	$783.36
2023	2,917	$209K
2024incomplete	3,113	$316K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	31%	867	277	$163K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	20%	990	622	$104K
D7241		14%	295	106	$73K
D9222		13%	681	630	$66K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	8.7%	248	88	$46K
D0140	Limited oral evaluation - problem focused	5.4%	773	720	$28K
D9610		3.1%	667	621	$16K
D9219		3.0%	653	598	$16K
D0330	Panoramic radiographic image	1.5%	294	271	$8K
D7230		1.2%	49	27	$7K
D7922		0%	540	142	$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 officialROE, ANGELIKA (CREDENTIALING)