Texas Wisdom Teeth & Dental Implants

Texas Wisdom Teeth & Dental Implants was paid $421K by Medicaid between Nov 2020 and Jul 2023, across 10 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 65% of everything it billed.

33Billing provider infoTEXAS WISDOM TEETH & DENTAL IMPLANTS
DALLAS, TX 75254

33aNPI1629428941assigned 06/17/2016

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$421K

24GClaims4,945

24DCodes billed10

24AFirst – last monthNov 2020 – Jul 2023

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Texas

Rank by total paid#46 of 102

Median peer was paid$338K

This provider vs. median1.2×

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
2020	241	$27K
2021	2,514	$245K
2022	1,479	$116K
2023	711	$33K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	65%	993	341	$274K
D0330	Panoramic radiographic image	12%	855	850	$51K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	9.2%	1,109	535	$39K
D9222		7.0%	536	534	$30K
D0140	Limited oral evaluation - problem focused	3.8%	873	868	$16K
D9612		2.3%	310	306	$10K
D9219		<1%	80	80	$1K
D9630		<1%	154	153	$714.20
D9610		<1%	12	12	$107.52
D7921		0%	23	12	$0.00

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 officialKOTLIAR, DAVID (MANAGER)