Premier Oral Surgery and Implantology Center LLC

Premier Oral Surgery and Implantology Center LLC was paid $6.72M by Medicaid between Jun 2018 and Dec 2024, across 13 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 31% of everything it billed.

33Billing provider infoPREMIER ORAL SURGERY AND IMPLANTOLOGY CENTER LLC
STRATFORD, CT 06614

33aNPI1952898025assigned 04/15/2018

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$6.72M

24GClaims57,864

24DCodes billed13

24AFirst – last monthJun 2018 – Dec 2024

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in Connecticut

Rank by total paid#3 of 54

Median peer was paid$141K

This provider vs. median48×

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	1,611	$128K
2019	5,180	$467K
2020	4,277	$388K
2021	10,667	$1.12M
2022	11,963	$1.40M
2023	10,789	$1.52M
2024incomplete	13,377	$1.70M

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	31%	19,353	7,443	$2.11M
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	24%	5,483	5,041	$1.60M
D7240	Removal of impacted tooth - completely bony	14%	3,280	1,230	$924K
D7230		11%	3,738	1,874	$750K
D7250		5.2%	2,319	904	$351K
D0330	Panoramic radiographic image	5.0%	7,033	6,442	$333K
D0140	Limited oral evaluation - problem focused	3.9%	9,508	8,828	$262K
D9222		2.4%	1,868	1,788	$160K
D7220		2.0%	913	589	$134K
D9310		1.3%	4,285	3,955	$84K
D9613		<1%	21	19	$4K
D9230	Inhalation of nitrous oxide / analgesia, anxiolysis	<1%	47	45	$2K

1 more codes

D0364

<1%

$765.00

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 officialBANGIYEV, SIMON (PRESIDENT)

Same official

Other billing entities under BANGIYEV, SIMON

Full network →

Provider	Location	Paid
Simon Bangiyev DDS, MD, PC Dba Premier Oral Surgery	Norwalk, CT	$5.26M
Simon Bangiyev DDS, MD, PC	Richmond Hill, NY	$137K
Premier Oral Surgery and Implantology Center LLC	Monroe, CT	$33K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.