Dental
Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A.
Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A. was paid $1.58M by Medicaid between Jan 2018 and Jan 2024, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 22% of everything it billed.
33Billing provider infoUPSTATE ORAL & MAXILLOFACIAL SURGERY & DENTAL IMPLANT CENTER, P.A.
EASLEY, SC 29640
EASLEY, SC 29640
33aNPI1770707887assigned 04/12/2007
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$1.58M
24GClaims16,120
24DCodes billed9
24AFirst – last monthJan 2018 – Jan 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in South Carolina
Rank by total paid#8 of 45
Median peer was paid$227K
This provider vs. median7.0×
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 | |
|---|---|---|---|
| 2018 | 3,875 | $400K | |
| 2019 | 3,017 | $306K | |
| 2020 | 2,912 | $281K | |
| 2021 | 2,756 | $277K | |
| 2022 | 2,386 | $241K | |
| 2023 | 1,155 | $74K | |
| 2024incomplete | 19 | $1K |
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 | 22% | 2,549 | 1,214 | $343K |
| D7240 | Removal of impacted tooth - completely bony | 20% | 1,169 | 392 | $319K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 15% | 2,722 | 2,718 | $244K |
| D9222 | 15% | 2,720 | 2,718 | $242K | |
| D7230 | 9.3% | 651 | 294 | $148K | |
| D0140 | Limited oral evaluation - problem focused | 9.0% | 3,806 | 3,806 | $142K |
| D9310 | 5.7% | 1,486 | 1,486 | $91K | |
| D0330 | Panoramic radiographic image | 2.8% | 910 | 910 | $44K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 107 | 30 | $8K |
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 officialJOUDEH, SAMER (OWNER)