Southern Indiana Oral and Maxillofacial Surgery P.S.C.
Southern Indiana Oral and Maxillofacial Surgery P.S.C. was paid $1.45M by Medicaid between Jan 2018 and Nov 2023, across 12 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 57% of everything it billed.
33Billing provider infoSOUTHERN INDIANA ORAL AND MAXILLOFACIAL SURGERY P.S.C.
JEFFERSONVILLE, IN 47130
JEFFERSONVILLE, IN 47130
33aNPI1699989434assigned 05/10/2007
33bProvider typeSpecialist
28Total paid$1.45M
24GClaims15,964
24DCodes billed12
24AFirst – last monthJan 2018 – Nov 2023
Compared with peers
Next to other Specialist providers in Indiana
Rank by total paid#15 of 90
Median peer was paid$98K
This provider vs. median15×
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 | 2,262 | $46K | |
| 2019 | 3,625 | $373K | |
| 2020 | 3,862 | $409K | |
| 2021 | 2,474 | $214K | |
| 2022 | 3,394 | $382K | |
| 2023 | 347 | $25K |
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 | 57% | 5,600 | 1,174 | $823K |
| D9243 | 13% | 2,403 | 993 | $188K | |
| D0330 | Panoramic radiographic image | 7.0% | 2,370 | 2,111 | $101K |
| D9239 | 6.1% | 1,362 | 1,214 | $88K | |
| D7240 | Removal of impacted tooth - completely bony | 5.6% | 257 | 88 | $82K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 2,735 | 2,353 | $67K |
| D7250 | 4.5% | 374 | 67 | $66K | |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 666 | 537 | $27K |
| D7230 | <1% | 25 | 12 | $6K | |
| D9630 | <1% | 77 | 75 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 56 | 53 | $420.93 |
| D9612 | 0% | 39 | 13 | $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 officialFORSEE, DON (DR/ORAL & MAXILLOFACIAL SURGEON)