Dental
Oral Surgery Associates of West Tennessee
Oral Surgery Associates of West Tennessee was paid $1.35M by Medicaid between Jan 2018 and Dec 2024, across 9 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 23% of everything it billed.
33Billing provider infoORAL SURGERY ASSOCIATES OF WEST TENNESSEE
JACKSON, TN 38305
JACKSON, TN 38305
33aNPI1669643318assigned 03/20/2008
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$1.35M
24GClaims18,380
24DCodes billed9
24AFirst – last monthJan 2018 – Dec 2024
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 | 1,525 | $112K | |
| 2019 | 1,901 | $164K | |
| 2020 | 1,397 | $135K | |
| 2021 | 1,980 | $147K | |
| 2022 | 2,586 | $184K | |
| 2023 | 4,937 | $331K | |
| 2024incomplete | 4,054 | $281K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 23% | 3,958 | 2,518 | $313K |
| D7240 | Removal of impacted tooth - completely bony | 23% | 1,395 | 571 | $305K |
| D9222 | 16% | 2,636 | 2,483 | $212K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 9.5% | 1,248 | 497 | $129K |
| D7230 | 9.5% | 676 | 321 | $128K | |
| D0140 | Limited oral evaluation - problem focused | 7.6% | 4,539 | 4,293 | $103K |
| D7140 | Extraction, erupted tooth or exposed root | 5.8% | 1,352 | 363 | $78K |
| D7250 | 3.3% | 426 | 102 | $45K | |
| D0330 | Panoramic radiographic image | 2.9% | 2,150 | 2,016 | $39K |
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 officialSAMMONS, STEPHEN (DENTIST/OWNER)