Dental
San Antonio Wisdom Teeth, PLLC
San Antonio Wisdom Teeth, PLLC was paid $516K by Medicaid between May 2021 and Nov 2024, across 8 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 73% of everything it billed.
33Billing provider infoSAN ANTONIO WISDOM TEETH, PLLC
SAN ANTONIO, TX 78249
SAN ANTONIO, TX 78249
33aNPI1568080497assigned 07/07/2020
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$516K
24GClaims5,176
24DCodes billed8
24AFirst – last monthMay 2021 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Texas
Rank by total paid#42 of 102
Median peer was paid$338K
This provider vs. median1.5×
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 | |
|---|---|---|---|
| 2021 | 291 | $21K | |
| 2022 | 1,392 | $139K | |
| 2023 | 2,085 | $213K | |
| 2024incomplete | 1,408 | $143K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 73% | 1,506 | 474 | $376K |
| D0330 | Panoramic radiographic image | 15% | 1,416 | 1,379 | $78K |
| D9222 | 4.9% | 499 | 468 | $25K | |
| D0140 | Limited oral evaluation - problem focused | 3.2% | 928 | 888 | $16K |
| D9610 | 1.2% | 503 | 472 | $6K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.2% | 158 | 106 | $6K |
| D9239 | <1% | 82 | 81 | $4K | |
| D9243 | <1% | 84 | 60 | $3K |
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 officialARNOLD, RYAN (ADMINISTRATOR)
| Provider | Location | Paid |
|---|---|---|
| Phoenix Wisdom Teeth, LLC | Glendale, AZ | $893K |
| Wisdom Teeth Guys, LLC | Bountiful, UT | $90K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.