Dental
Kentuckiana Oral & Maxillofacial Surgery Assoc PSC
Kentuckiana Oral & Maxillofacial Surgery Assoc PSC was paid $1.10M by Medicaid between Oct 2018 and Dec 2024, across 10 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 35% of everything it billed.
33Billing provider infoKENTUCKIANA ORAL & MAXILLOFACIAL SURGERY ASSOC PSC
LOUISVILLE, KY 40205
LOUISVILLE, KY 40205
33aNPI1396737011assigned 08/18/2005
33bProvider typeDentist
28Total paid$1.10M
24GClaims13,281
24DCodes billed10
24AFirst – last monthOct 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in Kentucky
Rank by total paid#32 of 350
Median peer was paid$95K
This provider vs. median11×
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 | 91 | $2K | |
| 2019 | 517 | $43K | |
| 2020 | 1,035 | $89K | |
| 2021 | 1,111 | $121K | |
| 2022 | 550 | $23K | |
| 2023 | 4,114 | $271K | |
| 2024incomplete | 5,863 | $548K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 35% | 2,084 | 624 | $388K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 18% | 1,503 | 584 | $201K |
| D0330 | Panoramic radiographic image | 13% | 2,407 | 2,332 | $146K |
| D0140 | Limited oral evaluation - problem focused | 12% | 3,124 | 2,994 | $127K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 10% | 1,818 | 827 | $114K |
| D9222 | 5.6% | 943 | 827 | $62K | |
| D7230 | 2.4% | 230 | 93 | $26K | |
| D9610 | 1.5% | 830 | 726 | $17K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.1% | 310 | 300 | $13K |
| D7220 | <1% | 32 | 16 | $4K |
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 officialWALTERS, NATHAN (PRESIDENT)