Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Nova Oral Surgery LLC

Nova Oral Surgery LLC was paid $223K by Medicaid between Feb 2023 and Oct 2024, across 4 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 75% of everything it billed.

33Billing provider infoNOVA ORAL SURGERY LLC
ADA, OK 74820
33aNPI1225747736assigned 11/23/2022
28Total paid$223K
24GClaims1,481
24DCodes billed4
24AFirst – last monthFeb 2023 – Oct 2024
Compared with peers

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

Rank by total paid#24 of 38
Median peer was paid$378K
This provider vs. median0.6×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
2023984$148K
2024incomplete497$75K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 75% 811 234 $166K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 15% 156 156 $34K
D9222 5.2% 156 156 $12K
D0140 Limited oral evaluation - problem focused 4.9% 358 355 $11K

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 officialIGOU, HANS (OWNER)