Renaissance Oral Surgery PC

Renaissance Oral Surgery PC was paid $478K by Medicaid between Jan 2018 and Dec 2024, across 7 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 38% of everything it billed.

33Billing provider infoRENAISSANCE ORAL SURGERY PC
ROSEVILLE, MI 48066

33aNPI1235325499assigned 09/21/2007

33bProvider typeOral & Maxillofacial Surgery (D.M.D.)

28Total paid$478K

24GClaims2,787

24DCodes billed7

24AFirst – last monthJan 2018 – Dec 2024

Compared with peers

Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in Michigan

Rank by total paid#3 of 14

Median peer was paid$82K

This provider vs. median5.8×

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	58	$3K
2019	159	$18K
2023	320	$43K
2024incomplete	2,250	$413K

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	38%	752	184	$180K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	22%	769	265	$106K
D7230		18%	240	130	$84K
D9222		9.8%	271	265	$47K
D0150	Comprehensive oral evaluation - new or established patient	6.4%	422	419	$31K
D0330	Panoramic radiographic image	5.2%	250	243	$25K
D0140	Limited oral evaluation - problem focused	1.1%	83	82	$5K

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 officialBRYAN, HENRY (PRESIDENT)