Dental
Bloomington Oral Surgery LLC
Bloomington Oral Surgery LLC was paid $33K by Medicaid between May 2018 and Dec 2019, across 4 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 72% of everything it billed.
33Billing provider infoBLOOMINGTON ORAL SURGERY LLC
BLOOMINGTON, IN 47401
BLOOMINGTON, IN 47401
33aNPI1841505252assigned 08/10/2010
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$33K
24GClaims494
24DCodes billed4
24AFirst – last monthMay 2018 – Dec 2019
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Indiana
Rank by total paid#54 of 72
Median peer was paid$286K
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 | |
|---|---|---|---|
| 2018 | 231 | $306.20 | |
| 2019 | 263 | $32K |
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 | 72% | 193 | 68 | $23K |
| D9243 | 15% | 90 | 54 | $5K | |
| D9239 | 14% | 121 | 91 | $4K | |
| D7140 | Extraction, erupted tooth or exposed root | 0% | 90 | 15 | $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 officialDEVITT, TIMOTHY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Bloomington Oral Surgery | Bloomington, IN | $2.68M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.