Clinic
East Central Indiana Oral and Maxillofacial Surgery, LLC
East Central Indiana Oral and Maxillofacial Surgery, LLC was paid $359K by Medicaid between Jan 2018 and Nov 2024, across 8 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 80% of everything it billed.
33Billing provider infoEAST CENTRAL INDIANA ORAL AND MAXILLOFACIAL SURGERY, LLC
MUNCIE, IN 47304
MUNCIE, IN 47304
33aNPI1720330004assigned 10/10/2012
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$359K
24GClaims3,713
24DCodes billed8
24AFirst – last monthJan 2018 – Nov 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 | 680 | $12K | |
| 2019 | 517 | $69K | |
| 2020 | 634 | $70K | |
| 2021 | 758 | $81K | |
| 2022 | 738 | $88K | |
| 2023 | 373 | $38K | |
| 2024incomplete | 13 | $559.65 |
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 | 80% | 2,098 | 578 | $288K |
| D0140 | Limited oral evaluation - problem focused | 4.3% | 553 | 490 | $15K |
| D9243 | 3.4% | 266 | 131 | $12K | |
| D7240 | Removal of impacted tooth - completely bony | 3.4% | 143 | 49 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 158 | 42 | $11K |
| D9239 | 2.9% | 212 | 198 | $10K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.4% | 247 | 228 | $9K |
| D0330 | Panoramic radiographic image | <1% | 36 | 26 | $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 officialPAPADOPOULOS, HARRY (PRACTICE CO-OWNER)
| Provider | Location | Paid |
|---|---|---|
| Marion Oral & Maxillofacial Surgery, LLC | Marion, IN | $564K |
| Richmond Oral Surgery Associates Acquisition, LLC | Richmond, IN | $511K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.