Clinic
Cheyenne Oral & Maxillofacial Surgery Associates, L.L.C
Cheyenne Oral & Maxillofacial Surgery Associates, L.L.C was paid $241K by Medicaid between Feb 2018 and Nov 2024, across 8 billing codes. Its largest line is D9310, — 24% of everything it billed.
33Billing provider infoCHEYENNE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, L.L.C
CHEYENNE, WY 82009
CHEYENNE, WY 82009
33aNPI1306046651assigned 07/24/2007
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$241K
24GClaims3,117
24DCodes billed8
24AFirst – last monthFeb 2018 – Nov 2024
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 | 219 | $17K | |
| 2019 | 133 | $8K | |
| 2020 | 339 | $31K | |
| 2021 | 206 | $12K | |
| 2022 | 397 | $24K | |
| 2023 | 736 | $45K | |
| 2024incomplete | 1,087 | $104K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9310 | 24% | 1,150 | 1,128 | $58K | |
| D7240 | Removal of impacted tooth - completely bony | 22% | 196 | 75 | $54K |
| D9222 | 22% | 490 | 481 | $54K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 16% | 533 | 481 | $39K |
| D0140 | Limited oral evaluation - problem focused | 6.5% | 351 | 331 | $16K |
| D7140 | Extraction, erupted tooth or exposed root | 3.9% | 67 | 27 | $9K |
| D0330 | Panoramic radiographic image | 2.5% | 139 | 135 | $6K |
| D9610 | 2.0% | 191 | 187 | $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 officialDOLAN, REX (OWNER)