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
TUPELO, MS 38801
33aNPI1831104793assigned 07/29/2006
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$359K
24GClaims4,117
24DCodes billed8
24AFirst – last monthNov 2018 – Sep 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 | |
|---|---|---|---|
| 2018 | 64 | $5K | |
| 2019 | 119 | $7K | |
| 2020 | 72 | $3K | |
| 2023 | 2,300 | $247K | |
| 2024incomplete | 1,562 | $96K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 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)