Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MI › Norton Shores › NPI 1487375218
Dental

Breakwater Oral and Maxillofacial Surgery PLLC

Breakwater Oral and Maxillofacial Surgery PLLC was paid $353K by Medicaid between Jan 2023 and May 2024, across 7 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 54% of everything it billed.

33Billing provider infoBREAKWATER ORAL AND MAXILLOFACIAL SURGERY PLLC
NORTON SHORES, MI 49444
33aNPI1487375218assigned 09/09/2022
28Total paid$353K
24GClaims2,729
24DCodes billed7
24AFirst – last monthJan 2023 – May 2024
Compared with peers

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

Rank by total paid#19 of 74
Median peer was paid$37K
This provider vs. median9.5×

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

$0$20K$40K2018201920202021202220232024
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
YearClaimsPaid
20231,938$252K
2024incomplete791$101K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 54% 749 246 $189K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 28% 928 333 $98K
D9222 9.9% 334 334 $35K
D9310 7.7% 397 397 $27K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth <1% 22 14 $3K
D9610 0% 285 285 $0.00
D9612 0% 14 14 $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 officialFAIRFIELD, ALEXIS (INSURANCE COORDINATOR)