Physician
Johnson City Oral and Maxillofacial Surgery, LLC
Johnson City Oral and Maxillofacial Surgery, LLC was paid $711K by Medicaid between Aug 2020 and Dec 2024, across 7 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 51% of everything it billed.
33Billing provider infoJOHNSON CITY ORAL AND MAXILLOFACIAL SURGERY, LLC
JOHNSON CITY, TN 37604
JOHNSON CITY, TN 37604
33aNPI1720601230assigned 05/19/2020
33bProvider typeOral & Maxillofacial Surgery (D.M.D.)
28Total paid$711K
24GClaims8,176
24DCodes billed7
24AFirst – last monthAug 2020 – Dec 2024
Compared with peers
Next to other Oral & Maxillofacial Surgery (D.M.D.) providers in Tennessee
Rank by total paid#2 of 8
Median peer was paid$28K
This provider vs. median26×
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 | |
|---|---|---|---|
| 2020 | 681 | $59K | |
| 2021 | 1,228 | $84K | |
| 2022 | 1,074 | $53K | |
| 2023 | 2,787 | $244K | |
| 2024incomplete | 2,406 | $271K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 51% | 1,556 | 471 | $362K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 24% | 2,270 | 1,018 | $173K |
| D9222 | 12% | 1,071 | 1,017 | $89K | |
| D0140 | Limited oral evaluation - problem focused | 5.0% | 1,571 | 1,514 | $35K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 3.8% | 207 | 80 | $27K |
| D0330 | Panoramic radiographic image | 3.2% | 1,471 | 1,418 | $23K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 30 | 12 | $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 officialSHERBAN, MATTHEW (PRESIDENT)