Dental
Centrasota Oral & Maxillofacial Surgeons, P.A.
Centrasota Oral & Maxillofacial Surgeons, P.A. was paid $5.06M by Medicaid between Jan 2018 and Dec 2024, across 8 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 49% of everything it billed.
33Billing provider infoCENTRASOTA ORAL & MAXILLOFACIAL SURGEONS, P.A.
SAINT CLOUD, MN 56303
SAINT CLOUD, MN 56303
33aNPI1598710477assigned 05/22/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$5.06M
24GClaims42,593
24DCodes billed8
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Minnesota
Rank by total paid#2 of 22
Median peer was paid$91K
This provider vs. median55×
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 | 5,546 | $101K | |
| 2019 | 5,195 | $502K | |
| 2020 | 5,655 | $561K | |
| 2021 | 8,051 | $953K | |
| 2022 | 6,246 | $1.00M | |
| 2023 | 5,635 | $816K | |
| 2024incomplete | 6,265 | $1.12M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 49% | 15,493 | 5,958 | $2.47M |
| D7140 | Extraction, erupted tooth or exposed root | 13% | 7,247 | 2,436 | $653K |
| D9222 | 11% | 3,243 | 3,153 | $547K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 10.0% | 3,294 | 2,745 | $504K |
| D0140 | Limited oral evaluation - problem focused | 9.5% | 10,802 | 10,556 | $479K |
| D7240 | Removal of impacted tooth - completely bony | 4.4% | 1,166 | 475 | $223K |
| D7230 | 3.6% | 1,256 | 620 | $180K | |
| D0330 | Panoramic radiographic image | <1% | 92 | 91 | $4K |
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 officialKECK, ROBERT (PRESIDENT)