Northern Plains Oral and Maxillofacial Surgery LLC

Northern Plains Oral and Maxillofacial Surgery LLC was paid $120K by Medicaid between Jan 2018 and Oct 2024, across 4 billing codes. Its largest line is D7140, Extraction, erupted tooth or exposed root — 62% of everything it billed.

33Billing provider infoNORTHERN PLAINS ORAL AND MAXILLOFACIAL SURGERY LLC
ABERDEEN, SD 57401

33aNPI1487718565assigned 12/21/2006

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$120K

24GClaims1,067

24DCodes billed4

24AFirst – last monthJan 2018 – Oct 2024

Compared with peers

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

Rank by total paid#4 of 7

Median peer was paid$120K

This provider vs. median1.0×

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	25	$979.44
2019	12	$506.04
2020	30	$1K
2021	128	$9K
2022	111	$7K
2023	105	$7K
2024incomplete	656	$95K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7140	Extraction, erupted tooth or exposed root	62%	647	212	$75K
D9222		19%	116	116	$23K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	10%	72	50	$12K
D0140	Limited oral evaluation - problem focused	8.3%	232	232	$10K

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 officialKIMBLER, CARL (OWNER)