Clinic
River Rock Oral Surgery, LLC
River Rock Oral Surgery, LLC was paid $1.61M by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 38% of everything it billed.
33Billing provider infoRIVER ROCK ORAL SURGERY, LLC
BULLHEAD CITY, AZ 86442
BULLHEAD CITY, AZ 86442
33aNPI1235530379assigned 09/09/2014
33bProvider typeDental Clinic/Center
28Total paid$1.61M
24GClaims19,677
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in Arizona
Rank by total paid#5 of 70
Median peer was paid$7K
This provider vs. median232×
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 | 1,337 | $96K | |
| 2019 | 1,714 | $134K | |
| 2020 | 4,776 | $389K | |
| 2021 | 4,513 | $358K | |
| 2022 | 3,211 | $246K | |
| 2023 | 1,558 | $151K | |
| 2024incomplete | 2,568 | $234K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7140 | Extraction, erupted tooth or exposed root | 38% | 7,324 | 2,805 | $603K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 15% | 2,222 | 2,017 | $236K |
| D0140 | Limited oral evaluation - problem focused | 13% | 4,440 | 4,340 | $202K |
| D9222 | 11% | 2,145 | 2,091 | $179K | |
| D7240 | Removal of impacted tooth - completely bony | 10% | 613 | 308 | $161K |
| D0330 | Panoramic radiographic image | 8.9% | 2,032 | 1,967 | $144K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 263 | 195 | $32K |
| D7230 | 1.6% | 109 | 65 | $26K | |
| D7220 | 1.2% | 112 | 67 | $19K | |
| D9610 | <1% | 260 | 255 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 88 | 81 | $2K |
| D7922 | 0% | 69 | 43 | $0.00 |
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 officialSWIGERT, RYAN (OWNER)