Clinic
Greater Beaumont Oral & Maxillofacial Surgery, PA
Greater Beaumont Oral & Maxillofacial Surgery, PA was paid $187K by Medicaid between Mar 2021 and Oct 2024, across 6 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 57% of everything it billed.
33Billing provider infoGREATER BEAUMONT ORAL & MAXILLOFACIAL SURGERY, PA
BEAUMONT, TX 77702
BEAUMONT, TX 77702
33aNPI1790199461assigned 06/20/2014
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$187K
24GClaims2,340
24DCodes billed6
24AFirst – last monthMar 2021 – Oct 2024
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 | 226 | $14K | |
| 2022 | 874 | $67K | |
| 2023 | 1,040 | $98K | |
| 2024incomplete | 200 | $8K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 57% | 386 | 128 | $107K |
| D0330 | Panoramic radiographic image | 16% | 507 | 504 | $31K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 12% | 516 | 212 | $22K |
| D9222 | 6.6% | 216 | 212 | $12K | |
| D0140 | Limited oral evaluation - problem focused | 5.3% | 542 | 536 | $10K |
| D9612 | 3.1% | 173 | 171 | $6K |
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 officialRAVI, PRASHANTH (DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| Greater Houston Oral and Facial Surgery,pa | Pasadena, TX | $2.71M |
| Ur Smile Dental on Hwy 6 PLLC | Houston, TX | $34K |
| Ur Smile Dental on Fry RD PLLC | Houston, TX | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.