Dental
South Central Oral & Maxillofacial Surgery, LLC
South Central Oral & Maxillofacial Surgery, LLC was paid $1.77M by Medicaid between Jan 2018 and Nov 2024, across 9 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 32% of everything it billed.
33Billing provider infoSOUTH CENTRAL ORAL & MAXILLOFACIAL SURGERY, LLC
BLOOMINGTON, IN 47401
BLOOMINGTON, IN 47401
33aNPI1760461339assigned 01/12/2006
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$1.77M
24GClaims15,494
24DCodes billed9
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Indiana
Rank by total paid#13 of 72
Median peer was paid$286K
This provider vs. median6.2×
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 | |
|---|---|---|---|
| 2018 | 1,468 | $13K | |
| 2019 | 2,613 | $340K | |
| 2020 | 2,505 | $276K | |
| 2021 | 2,483 | $307K | |
| 2022 | 2,589 | $324K | |
| 2023 | 2,384 | $323K | |
| 2024incomplete | 1,452 | $192K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 32% | 2,078 | 700 | $575K |
| D7140 | Extraction, erupted tooth or exposed root | 25% | 5,237 | 1,880 | $450K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 16% | 1,725 | 810 | $288K |
| D9243 | 11% | 2,443 | 1,388 | $201K | |
| D0330 | Panoramic radiographic image | 6.1% | 1,687 | 1,625 | $109K |
| D9239 | 5.9% | 1,456 | 1,370 | $105K | |
| D0140 | Limited oral evaluation - problem focused | 1.8% | 756 | 730 | $32K |
| D7250 | <1% | 61 | 24 | $12K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 51 | 49 | $1K |
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 officialPLISKE, TIMOTHY (OWNER)