Dental
Montgomery Oral & Facial Surgery, LLC
Montgomery Oral & Facial Surgery, LLC was paid $245K by Medicaid between Aug 2022 and Nov 2024, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 30% of everything it billed.
33Billing provider infoMONTGOMERY ORAL & FACIAL SURGERY, LLC
ROCKVILLE, MD 20852
ROCKVILLE, MD 20852
33aNPI1649676503assigned 11/05/2014
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$245K
24GClaims1,927
24DCodes billed9
24AFirst – last monthAug 2022 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Maryland
Rank by total paid#25 of 58
Median peer was paid$108K
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 | |
|---|---|---|---|
| 2022 | 12 | $576.00 | |
| 2023 | 765 | $78K | |
| 2024incomplete | 1,150 | $166K |
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 | 30% | 659 | 296 | $74K |
| D7240 | Removal of impacted tooth - completely bony | 28% | 228 | 84 | $69K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 20% | 216 | 216 | $50K |
| D0140 | Limited oral evaluation - problem focused | 7.7% | 402 | 400 | $19K |
| D9222 | 6.9% | 217 | 217 | $17K | |
| D7230 | 4.3% | 46 | 31 | $11K | |
| D0330 | Panoramic radiographic image | <1% | 40 | 40 | $2K |
| D9310 | <1% | 38 | 38 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 81 | 80 | $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 officialMERLO, LEONARD (PROPRIETOR)