Dental
Spotsylvania Oral Surgery PLLC
Spotsylvania Oral Surgery PLLC was paid $1.31M by Medicaid between Apr 2018 and Jun 2024, across 11 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 61% of everything it billed.
33Billing provider infoSPOTSYLVANIA ORAL SURGERY PLLC
SPOTSYLVANIA, VA 22553
SPOTSYLVANIA, VA 22553
33aNPI1235517962assigned 05/14/2015
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$1.31M
24GClaims16,938
24DCodes billed11
24AFirst – last monthApr 2018 – Jun 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Virginia
Rank by total paid#10 of 70
Median peer was paid$87K
This provider vs. median15×
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 | 184 | $13K | |
| 2019 | 1,484 | $88K | |
| 2020 | 2,604 | $141K | |
| 2021 | 4,330 | $373K | |
| 2022 | 3,932 | $484K | |
| 2023 | 3,220 | $206K | |
| 2024incomplete | 1,184 | $0.00 |
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 | 61% | 8,423 | 1,798 | $792K |
| D7240 | Removal of impacted tooth - completely bony | 14% | 902 | 338 | $187K |
| D9310 | 8.8% | 1,858 | 1,512 | $115K | |
| D9243 | 3.6% | 1,025 | 548 | $47K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 2.9% | 820 | 273 | $38K |
| D7250 | 2.4% | 628 | 165 | $31K | |
| D0140 | Limited oral evaluation - problem focused | 2.4% | 1,780 | 1,464 | $31K |
| D9239 | 1.9% | 557 | 550 | $25K | |
| D9222 | 1.3% | 365 | 261 | $17K | |
| D7310 | 1.3% | 241 | 94 | $17K | |
| D0330 | Panoramic radiographic image | <1% | 339 | 301 | $6K |
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 officialMOODY, BRENDA (REGIONAL MANAGER)