Physician
Minnesota Oral and Facial Surgery PLLC
Minnesota Oral and Facial Surgery PLLC was paid $88K by Medicaid between Oct 2021 and Oct 2024, across 5 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 84% of everything it billed.
33Billing provider infoMINNESOTA ORAL AND FACIAL SURGERY PLLC
SARTELL, MN 56377
SARTELL, MN 56377
33aNPI1194363275assigned 12/19/2019
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$88K
24GClaims945
24DCodes billed5
24AFirst – last monthOct 2021 – Oct 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 | |
|---|---|---|---|
| 2021 | 106 | $7K | |
| 2022 | 434 | $55K | |
| 2023 | 126 | $8K | |
| 2024incomplete | 279 | $18K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 84% | 504 | 146 | $74K |
| D0140 | Limited oral evaluation - problem focused | 13% | 283 | 275 | $12K |
| D0330 | Panoramic radiographic image | 2.5% | 27 | 27 | $2K |
| D9215 | 0% | 118 | 91 | $0.00 | |
| D9612 | 0% | 13 | 13 | $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 officialKADEMANI, DEEPAK (OWNER)