Clinic
Coastal Carolina Oral Maxillofacial Surgery
Coastal Carolina Oral Maxillofacial Surgery was paid $1.99M by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 43% of everything it billed.
33Billing provider infoCOASTAL CAROLINA ORAL MAXILLOFACIAL SURGERY
MYRTLE BEACH, SC 29579
MYRTLE BEACH, SC 29579
33aNPI1194812339assigned 10/09/2006
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$1.99M
24GClaims19,001
24DCodes billed11
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 | 2,450 | $263K | |
| 2019 | 2,965 | $302K | |
| 2020 | 2,554 | $263K | |
| 2021 | 3,839 | $430K | |
| 2022 | 3,579 | $401K | |
| 2023 | 1,416 | $87K | |
| 2024incomplete | 2,198 | $239K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 43% | 3,148 | 1,023 | $854K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 13% | 1,954 | 1,075 | $256K |
| D9222 | 13% | 2,671 | 2,668 | $256K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 12% | 2,689 | 2,605 | $239K |
| D0140 | Limited oral evaluation - problem focused | 12% | 6,354 | 6,329 | $237K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 724 | 276 | $61K |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 1.9% | 775 | 774 | $37K |
| D0330 | Panoramic radiographic image | 1.4% | 566 | 563 | $27K |
| D7230 | <1% | 68 | 37 | $16K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 39 | 38 | $1K |
| D9248 | <1% | 13 | 13 | $855.40 |
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 officialPOND, WILMA (PRACTICE ADMINISTRATOR)