Atlantic Pines Oral Surgery and Anesthesia

Atlantic Pines Oral Surgery and Anesthesia was paid $139K by Medicaid between Sep 2021 and Dec 2024, across 5 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 49% of everything it billed.

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	29	$420.00
2022	171	$13K
2023	540	$53K
2024incomplete	523	$72K

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	49%	351	211	$69K
D9222		20%	221	211	$28K
D0140	Limited oral evaluation - problem focused	16%	494	470	$22K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	12%	137	67	$17K
D0330	Panoramic radiographic image	2.8%	60	60	$4K

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 officialSNOW, JESSE (OWNER)