Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
Home › MS › Tupelo › NPI 1831104793
Dental

North Mississippi Oral & Maxillofacial Surgery Associates, PA

North Mississippi Oral & Maxillofacial Surgery Associates, PA was paid $359K by Medicaid between Nov 2018 and Sep 2024, across 8 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 38% of everything it billed.

33Billing provider infoNORTH MISSISSIPPI ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PA
TUPELO, MS 38801
33aNPI1831104793assigned 07/29/2006
28Total paid$359K
24GClaims4,117
24DCodes billed8
24AFirst – last monthNov 2018 – Sep 2024
Box 24A · Dates of service

Paid by month

$0$50K$100K2018201920202021202220232024
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
YearClaimsPaid
201864$5K
2019119$7K
202072$3K
20232,300$247K
2024incomplete1,562$96K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D7240 Removal of impacted tooth - completely bony 38% 583 212 $137K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 23% 1,384 584 $82K
D9222 13% 498 479 $46K
D0140 Limited oral evaluation - problem focused 9.3% 895 846 $33K
D7230 7.7% 144 78 $28K
D0330 Panoramic radiographic image 5.2% 417 390 $19K
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 3.8% 125 49 $14K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis 0% 71 63 $0.00

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 officialCOSTELLO, KAREN (OFFICE MANAGER)