Dental
Indian Land Oral & Facial Surgery LLC
Indian Land Oral & Facial Surgery LLC was paid $20K by Medicaid between Oct 2019 and May 2020, across 4 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 40% of everything it billed.
33Billing provider infoINDIAN LAND ORAL & FACIAL SURGERY LLC
FORT MILL, SC 29707
FORT MILL, SC 29707
33aNPI1942794789assigned 06/15/2018
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$20K
24GClaims301
24DCodes billed4
24AFirst – last monthOct 2019 – May 2020
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in South Carolina
Rank by total paid#36 of 45
Median peer was paid$227K
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 | |
|---|---|---|---|
| 2019 | 122 | $9K | |
| 2020 | 179 | $11K |
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 | 40% | 65 | 42 | $8K |
| D0140 | Limited oral evaluation - problem focused | 28% | 154 | 153 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | 25% | 65 | 28 | $5K |
| D9222 | 6.0% | 17 | 15 | $1K |
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 officialCOYNER, LESLEY (CREDENTIALING)
| Provider | Location | Paid |
|---|---|---|
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Huntington, WV | $2.15M |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Charleston, WV | $974K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Beckley, WV | $789K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Parkersburg, WV | $582K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Hurricane, WV | $534K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Charleston, WV | $467K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Charleston, WV | $179K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Beckley, WV | $18K |
| DRS Brock, Henderson, Di Prisco, Ravelo and Green INC | Princeton, WV | $18K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.