Southeast Oklahoma Oral & Maxillofacial Surgery, PC

Southeast Oklahoma Oral & Maxillofacial Surgery, PC was paid $230K by Medicaid between Jan 2018 and Jan 2023, across 4 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 59% of everything it billed.

33Billing provider infoSOUTHEAST OKLAHOMA ORAL & MAXILLOFACIAL SURGERY, PC
ADA, OK 74820

33aNPI1306839246assigned 08/25/2005

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$230K

24GClaims1,824

24DCodes billed4

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

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

Rank by total paid#23 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

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	606	$75K
2019	414	$43K
2020	300	$43K
2021	214	$31K
2022	252	$34K
2023	38	$4K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	59%	660	203	$135K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	24%	333	333	$55K
D9222		11%	346	346	$25K
D0140	Limited oral evaluation - problem focused	6.1%	485	485	$14K

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 officialBOONE, R. (ORAL SURGEON AND OWNER)