Dental
Southeast Oral Surgery PC
Southeast Oral Surgery PC was paid $898K by Medicaid between Jan 2018 and Nov 2024, across 10 billing codes. Its largest line is D9222, — 25% of everything it billed.
33Billing provider infoSOUTHEAST ORAL SURGERY PC
MARYVILLE, TN 37804
MARYVILLE, TN 37804
33aNPI1184733446assigned 08/30/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$898K
24GClaims14,459
24DCodes billed10
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Tennessee
Rank by total paid#11 of 58
Median peer was paid$274K
This provider vs. median3.3×
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 | 1,027 | $41K | |
| 2019 | 2,072 | $128K | |
| 2020 | 1,384 | $73K | |
| 2021 | 2,090 | $117K | |
| 2022 | 3,372 | $244K | |
| 2023 | 2,326 | $165K | |
| 2024incomplete | 2,188 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9222 | 25% | 2,692 | 2,633 | $229K | |
| D7240 | Removal of impacted tooth - completely bony | 24% | 902 | 301 | $212K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 18% | 1,899 | 1,230 | $160K |
| D0140 | Limited oral evaluation - problem focused | 15% | 5,597 | 5,558 | $133K |
| D7230 | 7.5% | 340 | 117 | $67K | |
| D9612 | 4.4% | 878 | 862 | $39K | |
| D9610 | 3.8% | 1,585 | 1,546 | $34K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.6% | 126 | 56 | $14K |
| D0330 | Panoramic radiographic image | <1% | 404 | 402 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 36 | 13 | $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 officialMCCONNELL, TIMOTHY (CEO)