Dental
East Tennessee Oral & Maxillofacial Surgery, PC
East Tennessee Oral & Maxillofacial Surgery, PC was paid $7.14M by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 34% of everything it billed.
33Billing provider infoEAST TENNESSEE ORAL & MAXILLOFACIAL SURGERY, PC
MARYVILLE, TN 37804
MARYVILLE, TN 37804
33aNPI1174624498assigned 09/26/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$7.14M
24GClaims81,376
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Tennessee
Rank by total paid#1 of 58
Median peer was paid$274K
This provider vs. median26×
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 | 5,969 | $594K | |
| 2019 | 7,475 | $778K | |
| 2020 | 6,898 | $600K | |
| 2021 | 9,620 | $898K | |
| 2022 | 10,266 | $992K | |
| 2023 | 21,552 | $1.70M | |
| 2024incomplete | 19,596 | $1.57M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 34% | 10,704 | 3,593 | $2.42M |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 17% | 10,756 | 3,120 | $1.19M |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 13% | 11,118 | 8,105 | $920K |
| D7140 | Extraction, erupted tooth or exposed root | 12% | 13,912 | 3,437 | $842K |
| D9222 | 11% | 9,453 | 9,052 | $781K | |
| D0140 | Limited oral evaluation - problem focused | 5.4% | 16,526 | 16,198 | $388K |
| D7230 | 4.3% | 1,546 | 739 | $305K | |
| D0330 | Panoramic radiographic image | 1.4% | 4,863 | 4,709 | $102K |
| D7310 | 1.1% | 790 | 242 | $81K | |
| D7250 | 1.0% | 670 | 126 | $72K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 303 | 294 | $9K |
| D7280 | <1% | 38 | 27 | $7K |
6 more codes
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 officialWIDLOSKI, MARK (OWNER/SURGEON)