Clinic
Washington Oral Surgery Center, LLC
Washington Oral Surgery Center, LLC was paid $31K by Medicaid between Apr 2018 and May 2024, across 4 billing codes. Its largest line is D0330, Panoramic radiographic image — 45% of everything it billed.
33Billing provider infoWASHINGTON ORAL SURGERY CENTER, LLC
WASHINGTON, DC 20020
WASHINGTON, DC 20020
33aNPI1861801805assigned 08/04/2014
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$31K
24GClaims382
24DCodes billed4
24AFirst – last monthApr 2018 – May 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 | 15 | $952.00 | |
| 2019 | 88 | $8K | |
| 2020 | 26 | $2K | |
| 2021 | 41 | $4K | |
| 2022 | 13 | $948.00 | |
| 2023 | 107 | $7K | |
| 2024incomplete | 92 | $9K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0330 | Panoramic radiographic image | 45% | 224 | 212 | $14K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 29% | 65 | 25 | $9K |
| D9310 | 23% | 80 | 77 | $7K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 13 | 13 | $905.50 |
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 officialPELT, MADALYN (INSRUANCE SPECIALIST)