Evergreen Oral and Maxillofacial Surgery

Evergreen Oral and Maxillofacial Surgery was paid $13K by Medicaid between Apr 2022 and Apr 2024, across 4 billing codes. Its largest line is D0140, Limited oral evaluation - problem focused — 64% of everything it billed.

33Billing provider infoEVERGREEN ORAL AND MAXILLOFACIAL SURGERY
EVERGREEN, CO 80439

33aNPI1225564297assigned 05/11/2017

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$13K

24GClaims286

24DCodes billed4

24AFirst – last monthApr 2022 – Apr 2024

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Colorado

Rank by total paid#46 of 59

Median peer was paid$152K

This provider vs. median0.1×

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
2022	111	$6K
2023	116	$4K
2024incomplete	59	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0140	Limited oral evaluation - problem focused	64%	234	234	$8K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	16%	13	13	$2K
D0330	Panoramic radiographic image	11%	26	26	$1K
D9222		9.7%	13	13	$1K

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 officialJUNDT, JONATHON (OWNER / SURGEON)