Clinic
Idaho Center for Oral and Facial Surgery
Idaho Center for Oral and Facial Surgery was paid $117K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 41% of everything it billed.
33Billing provider infoIDAHO CENTER FOR ORAL AND FACIAL SURGERY
POCATELLO, ID 83201
POCATELLO, ID 83201
33aNPI1558675298assigned 08/05/2010
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$117K
24GClaims3,520
24DCodes billed7
24AFirst – last monthJan 2018 – Nov 2024
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 | 677 | $27K | |
| 2019 | 850 | $37K | |
| 2020 | 585 | $16K | |
| 2021 | 516 | $16K | |
| 2022 | 373 | $7K | |
| 2023 | 234 | $4K | |
| 2024incomplete | 285 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 41% | 266 | 96 | $48K |
| D0330 | Panoramic radiographic image | 30% | 877 | 876 | $36K |
| D0140 | Limited oral evaluation - problem focused | 13% | 1,737 | 1,731 | $15K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 12% | 108 | 55 | $14K |
| D9310 | 1.6% | 13 | 13 | $2K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.3% | 316 | 269 | $2K |
| D9222 | <1% | 203 | 203 | $511.32 |
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 officialDABELL, JEFFREY (SURGEON)