Clinic
Southwest Oral and Maxillofacial Surgeons LLC
Southwest Oral and Maxillofacial Surgeons LLC was paid $226K by Medicaid between Jul 2021 and Oct 2024, across 11 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 35% of everything it billed.
33Billing provider infoSOUTHWEST ORAL AND MAXILLOFACIAL SURGEONS LLC
ALBUQUERQUE, NM 87109
ALBUQUERQUE, NM 87109
33aNPI1629615851assigned 12/06/2019
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$226K
24GClaims2,644
24DCodes billed11
24AFirst – last monthJul 2021 – Oct 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in New Mexico
Rank by total paid#13 of 19
Median peer was paid$1.30M
This provider vs. median0.2×
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 | |
|---|---|---|---|
| 2021 | 566 | $44K | |
| 2022 | 1,883 | $165K | |
| 2023 | 144 | $14K | |
| 2024incomplete | 51 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 35% | 409 | 142 | $79K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 24% | 475 | 172 | $54K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 18% | 541 | 386 | $42K |
| D9222 | 9.7% | 386 | 386 | $22K | |
| D9610 | 4.6% | 413 | 413 | $10K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.3% | 217 | 217 | $8K |
| D9239 | 1.5% | 26 | 26 | $3K | |
| D0330 | Panoramic radiographic image | 1.2% | 51 | 51 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 71 | 71 | $2K |
| D9243 | <1% | 28 | 26 | $2K | |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | <1% | 27 | 27 | $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 officialNG, WAI PONG (OWNER)