Dental
Midwest Oral and Maxillofacial Surgery P C
Midwest Oral and Maxillofacial Surgery P C was paid $3.82M by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 25% of everything it billed.
33Billing provider infoMIDWEST ORAL AND MAXILLOFACIAL SURGERY P C
FORT WAYNE, IN 46815
FORT WAYNE, IN 46815
33aNPI1598781106assigned 07/15/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$3.82M
24GClaims45,332
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Indiana
Rank by total paid#6 of 72
Median peer was paid$286K
This provider vs. median13×
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 | 8,791 | $239K | |
| 2019 | 9,094 | $794K | |
| 2020 | 7,736 | $760K | |
| 2021 | 6,823 | $700K | |
| 2022 | 4,194 | $402K | |
| 2023 | 5,418 | $534K | |
| 2024incomplete | 3,276 | $394K |
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 | 25% | 7,620 | 2,087 | $942K |
| D7240 | Removal of impacted tooth - completely bony | 19% | 2,790 | 940 | $711K |
| D7230 | 18% | 3,496 | 1,311 | $693K | |
| D7140 | Extraction, erupted tooth or exposed root | 11% | 7,324 | 1,555 | $417K |
| D9243 | 10% | 7,347 | 2,641 | $390K | |
| D0330 | Panoramic radiographic image | 5.4% | 4,892 | 4,025 | $207K |
| D9239 | 4.9% | 2,877 | 2,352 | $186K | |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 4,667 | 3,653 | $164K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 3,385 | 2,959 | $78K |
| D7310 | <1% | 198 | 51 | $14K | |
| D7220 | <1% | 172 | 97 | $14K | |
| D7250 | <1% | 57 | 12 | $5K |
1 more codes
| D1999 | <1% | 507 | $200.00 |
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 officialICZKOVITZ, MICHAEL (PRESIDENT)