Clinic
Bellevue Oral and Maxillofacial Surgery LLC
Bellevue Oral and Maxillofacial Surgery LLC was paid $685K by Medicaid between Jan 2018 and Feb 2024, across 8 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 41% of everything it billed.
33Billing provider infoBELLEVUE ORAL AND MAXILLOFACIAL SURGERY LLC
PAPILLION, NE 68046
PAPILLION, NE 68046
33aNPI1558690545assigned 12/22/2009
33bProvider typeDental Clinic/Center
28Total paid$685K
24GClaims8,145
24DCodes billed8
24AFirst – last monthJan 2018 – Feb 2024
Compared with peers
Next to other Dental Clinic/Center providers in Nebraska
Rank by total paid#4 of 41
Median peer was paid$25K
This provider vs. median28×
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 | 1,815 | $154K | |
| 2019 | 2,171 | $203K | |
| 2020 | 2,696 | $200K | |
| 2021 | 1,450 | $128K | |
| 2024incomplete | 13 | $359.86 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 41% | 1,422 | 509 | $280K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 28% | 2,516 | 1,031 | $192K |
| D9222 | 13% | 1,040 | 1,032 | $90K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.3% | 790 | 287 | $64K |
| D0140 | Limited oral evaluation - problem focused | 5.0% | 1,555 | 1,554 | $34K |
| D7230 | 2.3% | 97 | 55 | $16K | |
| D1999 | <1% | 669 | 625 | $7K | |
| D0330 | Panoramic radiographic image | <1% | 56 | 56 | $2K |
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 officialOGUNLEYE, AFOLABI (OWNER)