Clinic
Oahu Oral and Maxillofacial Surgery
Oahu Oral and Maxillofacial Surgery was paid $3.70M by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 40% of everything it billed.
33Billing provider infoOAHU ORAL AND MAXILLOFACIAL SURGERY
KANEOHE, HI 96744
KANEOHE, HI 96744
33aNPI1164948642assigned 08/16/2017
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$3.70M
24GClaims27,773
24DCodes billed10
24AFirst – last monthJan 2018 – 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 | |
|---|---|---|---|
| 2018 | 2,543 | $407K | |
| 2019 | 3,121 | $491K | |
| 2020 | 3,188 | $425K | |
| 2021 | 3,970 | $515K | |
| 2022 | 4,421 | $506K | |
| 2023 | 5,544 | $713K | |
| 2024incomplete | 4,986 | $644K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 40% | 4,350 | 1,918 | $1.49M |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 37% | 8,797 | 4,190 | $1.36M |
| D7230 | 8.1% | 1,193 | 742 | $300K | |
| D0330 | Panoramic radiographic image | 7.3% | 5,423 | 5,412 | $271K |
| D0140 | Limited oral evaluation - problem focused | 6.3% | 7,424 | 7,392 | $235K |
| D9243 | <1% | 295 | 147 | $30K | |
| D9239 | <1% | 121 | 121 | $12K | |
| D7250 | <1% | 32 | 15 | $7K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 126 | 39 | $4K |
| D0366 | <1% | 12 | 12 | $2K |
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 officialHANNON, JEREMY (OWNER/PROPRIETOR)