Dental
Teton Oral and Maxillofacial Surgery
Teton Oral and Maxillofacial Surgery was paid $75K by Medicaid between Dec 2020 and Aug 2024, across 4 billing codes. Its largest line is D9222, — 39% of everything it billed.
33Billing provider infoTETON ORAL AND MAXILLOFACIAL SURGERY
JACKSON, WY 83001
JACKSON, WY 83001
33aNPI1740776202assigned 07/09/2018
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$75K
24GClaims886
24DCodes billed4
24AFirst – last monthDec 2020 – Aug 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Wyoming
Rank by total paid#3 of 5
Median peer was paid$75K
This provider vs. median1.0×
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 | 24 | $2K | |
| 2021 | 119 | $8K | |
| 2022 | 246 | $19K | |
| 2023 | 360 | $36K | |
| 2024incomplete | 137 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9222 | 39% | 272 | 262 | $29K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 25% | 265 | 229 | $19K |
| D7240 | Removal of impacted tooth - completely bony | 21% | 77 | 26 | $16K |
| D0140 | Limited oral evaluation - problem focused | 16% | 272 | 263 | $12K |
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 officialMULLEN, BRIDGET (OFFICE MANAGER)