Dental
Potomac Oral & Maxillofacial Surgery
Potomac Oral & Maxillofacial Surgery was paid $13K by Medicaid between Jun 2024 and Nov 2024, across 4 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 41% of everything it billed.
33Billing provider infoPOTOMAC ORAL & MAXILLOFACIAL SURGERY
PRINCE FREDERICK, MD 20678
PRINCE FREDERICK, MD 20678
33aNPI1821858937assigned 03/19/2024
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$13K
24GClaims131
24DCodes billed4
24AFirst – last monthJun 2024 – Nov 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Maryland
Rank by total paid#49 of 58
Median peer was paid$108K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2024incomplete | 131 | $13K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 41% | 25 | 25 | $6K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 27% | 32 | 12 | $4K |
| D0140 | Limited oral evaluation - problem focused | 17% | 49 | 49 | $2K |
| D9222 | 15% | 25 | 25 | $2K |
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 officialGARDNER, WENDELL (OWNER)
Parent organizationPOTOMAC ORAL & MAXILLOFACIAL SURGERY
| Provider | Location | Paid |
|---|---|---|
| Potomac Oral and Maxillofacial Surgery; LLC | Dunkirk, MD | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.