Keystone Oral and Maxillofacial Surgery PC

Keystone Oral and Maxillofacial Surgery PC was paid $21K by Medicaid between Apr 2018 and Oct 2024, across 5 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 50% of everything it billed.

33Billing provider infoKEYSTONE ORAL AND MAXILLOFACIAL SURGERY PC
CLINTON TOWNSHIP, MI 48036

33aNPI1427457191assigned 08/19/2014

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$21K

24GClaims154

24DCodes billed5

24AFirst – last monthApr 2018 – Oct 2024

Compared with peers

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

Rank by total paid#42 of 74

Median peer was paid$37K

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	111	$18K
2023	13	$948.56
2024incomplete	30	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	50%	35	13	$11K
D0150	Comprehensive oral evaluation - new or established patient	17%	55	55	$4K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	15%	26	26	$3K
D9222		15%	26	26	$3K
D0140	Limited oral evaluation - problem focused	3.4%	12	12	$715.00

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 officialKASPER, ANTHONY (OWNER)