Dental
Plateau Oral and Facial Surgery
Plateau Oral and Facial Surgery was paid $821K by Medicaid between Oct 2018 and Dec 2024, across 11 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 42% of everything it billed.
33Billing provider infoPLATEAU ORAL AND FACIAL SURGERY
COOKEVILLE, TN 38501
COOKEVILLE, TN 38501
33aNPI1396121000assigned 08/04/2015
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$821K
24GClaims8,593
24DCodes billed11
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Tennessee
Rank by total paid#12 of 58
Median peer was paid$274K
This provider vs. median3.0×
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 | 27 | $580.00 | |
| 2019 | 233 | $14K | |
| 2020 | 212 | $21K | |
| 2021 | 366 | $26K | |
| 2022 | 1,788 | $161K | |
| 2023 | 2,935 | $259K | |
| 2024incomplete | 3,032 | $340K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 42% | 1,437 | 441 | $346K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 1,224 | 349 | $150K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 16% | 1,695 | 983 | $127K |
| D9222 | 9.4% | 1,128 | 1,047 | $78K | |
| D9310 | 4.1% | 729 | 688 | $34K | |
| D9612 | 4.0% | 953 | 883 | $33K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.8% | 1,134 | 1,084 | $31K |
| D7140 | Extraction, erupted tooth or exposed root | 1.3% | 181 | 28 | $11K |
| D7230 | 1.2% | 57 | 24 | $10K | |
| D0330 | Panoramic radiographic image | <1% | 43 | 42 | $1K |
| D9239 | 0% | 12 | 12 | $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 officialCALDEMEYER, CORTLAND (OWNER)