Dental
Eagle Oral Surgery and Dental Implant Center PLLC
Eagle Oral Surgery and Dental Implant Center PLLC was paid $488K by Medicaid between Mar 2018 and Nov 2024, across 11 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 42% of everything it billed.
33Billing provider infoEAGLE ORAL SURGERY AND DENTAL IMPLANT CENTER PLLC
EAGLE, ID 83616
EAGLE, ID 83616
33aNPI1780074864assigned 01/28/2015
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$488K
24GClaims7,468
24DCodes billed11
24AFirst – last monthMar 2018 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Idaho
Rank by total paid#4 of 14
Median peer was paid$39K
This provider vs. median13×
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 | 2,876 | $179K | |
| 2019 | 3,547 | $222K | |
| 2020 | 190 | $19K | |
| 2021 | 257 | $17K | |
| 2022 | 276 | $19K | |
| 2023 | 182 | $18K | |
| 2024incomplete | 140 | $14K |
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 | 42% | 2,231 | 288 | $206K |
| D7240 | Removal of impacted tooth - completely bony | 22% | 449 | 162 | $109K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 16% | 836 | 835 | $78K |
| D7140 | Extraction, erupted tooth or exposed root | 8.7% | 1,333 | 217 | $43K |
| D0330 | Panoramic radiographic image | 3.8% | 479 | 479 | $19K |
| D9222 | 2.5% | 254 | 254 | $12K | |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.7% | 988 | 375 | $8K |
| 41874 | 1.2% | 37 | 13 | $6K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 677 | 674 | $4K |
| 96374 | Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance | <1% | 55 | 55 | $2K |
| 99153 | Mod sedat endo service >5yrs | <1% | 129 | 114 | $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 officialHIXSON, JEREMY (OWNER/PROVIDER)