Oral & Maxillofacial Surgery Clinic INC.

Oral & Maxillofacial Surgery Clinic INC. was paid $677K by Medicaid between Jan 2018 and May 2022, across 16 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 47% of everything it billed.

33Billing provider infoORAL & MAXILLOFACIAL SURGERY CLINIC INC.
MEMPHIS, TN 38103

33aNPI1427471382assigned 01/29/2014

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$677K

24GClaims8,202

24DCodes billed16

24AFirst – last monthJan 2018 – May 2022

Compared with peers

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

Rank by total paid#15 of 58

Median peer was paid$274K

This provider vs. median2.5×

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	2,269	$203K
2019	2,596	$250K
2020	738	$55K
2021	1,905	$129K
2022	694	$41K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	47%	1,400	435	$320K
D9243		24%	2,097	832	$160K
D9239		9.5%	839	803	$65K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	6.8%	377	180	$46K
D0150	Comprehensive oral evaluation - new or established patient	3.8%	940	912	$26K
D0330	Panoramic radiographic image	2.3%	829	808	$16K
D7140	Extraction, erupted tooth or exposed root	1.5%	156	61	$10K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.2%	342	331	$8K
D0140	Limited oral evaluation - problem focused	1.0%	291	288	$7K
D1120	Dental cleaning, childProphylaxis - child	<1%	196	185	$6K
D1208	Topical application of fluoride, excluding varnish	<1%	290	278	$5K
D1110	Prophylaxis - adult	<1%	88	84	$3K

4 more codes

D0272	Bitewings - two radiographic images	<1%	292	$3K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	27	$789.75
D1206	Topical application of fluoride varnish	<1%	24	$492.00
D0274	Bitewings - four radiographic images	<1%	14	$339.36

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 officialFORDJOUR, ISAAC (PRESIDENT)