Dental
Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC
Fort Wayne Oral Maxillofacial Surgery & Implant Center, LLC was paid $649K by Medicaid between Mar 2018 and Dec 2021, across 11 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 48% of everything it billed.
33Billing provider infoFORT WAYNE ORAL MAXILLOFACIAL SURGERY & IMPLANT CENTER, LLC
FORT WAYNE, IN 46825
FORT WAYNE, IN 46825
33aNPI1649347832assigned 11/30/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$649K
24GClaims7,017
24DCodes billed11
24AFirst – last monthMar 2018 – Dec 2021
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Indiana
Rank by total paid#26 of 72
Median peer was paid$286K
This provider vs. median2.3×
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 | 1,809 | $45K | |
| 2019 | 2,075 | $217K | |
| 2020 | 1,102 | $118K | |
| 2021 | 2,031 | $268K |
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 | 48% | 2,350 | 562 | $312K |
| D7240 | Removal of impacted tooth - completely bony | 28% | 640 | 213 | $179K |
| D0160 | 9.6% | 1,542 | 1,344 | $62K | |
| D9243 | 3.9% | 461 | 332 | $25K | |
| D7230 | 3.3% | 93 | 43 | $21K | |
| D9239 | 2.8% | 370 | 331 | $18K | |
| D9222 | 1.8% | 195 | 167 | $12K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.7% | 181 | 150 | $11K |
| D9630 | <1% | 523 | 219 | $4K | |
| D0330 | Panoramic radiographic image | <1% | 83 | 73 | $3K |
| D9610 | 0% | 579 | 486 | $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 officialLUGAKINGIRA, MULOKOZI (PRESIDENT)