Dental
Kalispell Oral Surgery Center LLC
Kalispell Oral Surgery Center LLC was paid $3.28M by Medicaid between Aug 2021 and Dec 2024, across 13 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 26% of everything it billed.
33Billing provider infoKALISPELL ORAL SURGERY CENTER LLC
KALISPELL, MT 59901
KALISPELL, MT 59901
33aNPI1710652938assigned 08/10/2021
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$3.28M
24GClaims23,765
24DCodes billed13
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Montana
Rank by total paid#3 of 18
Median peer was paid$403K
This provider vs. median8.1×
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 | 3,004 | $460K | |
| 2022 | 9,850 | $1.17M | |
| 2023 | 7,040 | $1.04M | |
| 2024incomplete | 3,871 | $606K |
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 | 26% | 3,743 | 3,557 | $848K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 20% | 6,143 | 1,929 | $668K |
| D0367 | 18% | 2,252 | 2,167 | $593K | |
| D7240 | Removal of impacted tooth - completely bony | 13% | 2,018 | 750 | $433K |
| D9222 | 9.8% | 3,734 | 3,550 | $320K | |
| D9310 | 5.9% | 3,789 | 3,626 | $195K | |
| D7230 | 4.3% | 766 | 383 | $139K | |
| D7250 | <1% | 214 | 70 | $24K | |
| D1320 | <1% | 698 | 648 | $23K | |
| D7220 | <1% | 78 | 49 | $12K | |
| D7311 | <1% | 106 | 41 | $10K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 125 | 30 | $7K |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 99 | $5K |
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 officialBLANTON-DICKENS, JOSHUA (MEMBER)