Dental
Oral Surgery Center of Kokomo LLC
Oral Surgery Center of Kokomo LLC was paid $650K by Medicaid between May 2019 and Nov 2024, across 9 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 48% of everything it billed.
33Billing provider infoORAL SURGERY CENTER OF KOKOMO LLC
KOKOMO, IN 46902
KOKOMO, IN 46902
33aNPI1992124879assigned 04/08/2014
33bProvider typeOral and Maxillofacial Pathology Dentist
28Total paid$650K
24GClaims5,317
24DCodes billed9
24AFirst – last monthMay 2019 – Nov 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 | |
|---|---|---|---|
| 2019 | 25 | $882.48 | |
| 2020 | 204 | $22K | |
| 2021 | 336 | $22K | |
| 2022 | 1,457 | $168K | |
| 2023 | 1,861 | $248K | |
| 2024incomplete | 1,434 | $190K |
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 | 48% | 2,034 | 430 | $310K |
| D7240 | Removal of impacted tooth - completely bony | 37% | 744 | 261 | $239K |
| D0140 | Limited oral evaluation - problem focused | 11% | 1,833 | 1,693 | $73K |
| D0330 | Panoramic radiographic image | 3.0% | 409 | 371 | $19K |
| D9248 | <1% | 119 | 109 | $6K | |
| D9243 | <1% | 103 | 16 | $2K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 26 | 26 | $630.23 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 28 | 27 | $361.63 |
| D1999 | 0% | 21 | 19 | $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 officialLADD, JOHN (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Ladd Dental Group of Peru, P.C. | Peru, IN | $3.45M |
| Ladd Dental of Greentown P.C. | Greentown, IN | $625K |
| Dentures Only P.C. | Peru, IN | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.