Oral Surgery Center of Idaho, PLLC

Oral Surgery Center of Idaho, PLLC was paid $253K by Medicaid between Jan 2024 and Dec 2024, across 8 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 64% of everything it billed.

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	3,317	$253K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	64%	683	255	$161K
D7230		15%	258	117	$38K
D0140	Limited oral evaluation - problem focused	11%	562	557	$27K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	4.5%	110	43	$11K
D9222		2.4%	380	377	$6K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	2.0%	826	379	$5K
D7220		1.4%	22	13	$4K
D0330	Panoramic radiographic image	<1%	476	473	$829.23

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 officialDABELL, MICHAEL (ORAL SURGEON)