Clinic
Great River Oral and Maxillofacial Surgery PC
Great River Oral and Maxillofacial Surgery PC was paid $202K by Medicaid between Jan 2018 and Mar 2022, across 6 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 50% of everything it billed.
33Billing provider infoGREAT RIVER ORAL AND MAXILLOFACIAL SURGERY PC
DUBUQUE, IA 52003
DUBUQUE, IA 52003
33aNPI1992799811assigned 09/07/2005
33bProvider typeOral and Maxillofacial Surgery Clinic/Center
28Total paid$202K
24GClaims3,668
24DCodes billed6
24AFirst – last monthJan 2018 – Mar 2022
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 | 643 | $37K | |
| 2019 | 488 | $21K | |
| 2020 | 544 | $29K | |
| 2021 | 1,181 | $62K | |
| 2022 | 812 | $53K |
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 | 50% | 1,203 | 437 | $101K |
| D0140 | Limited oral evaluation - problem focused | 16% | 1,202 | 1,167 | $32K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 15% | 459 | 355 | $30K |
| D9222 | 14% | 390 | 356 | $28K | |
| D7240 | Removal of impacted tooth - completely bony | 3.9% | 41 | 12 | $8K |
| D9610 | 1.7% | 373 | 340 | $3K |
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 officialWILLIAMS, THOMAS (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Satellite Healthcare INC | Modesto, CA | $2.50M |
| Muscatine Community School District | Muscatine, IA | $2.27M |
| Williams & Pearce Family Dental SC | Richland Center, WI | $1.09M |
| Turning Point Center LLC | Eugene, OR | $109K |
| Satellite Healthcare Central States, LLC | Laredo, TX | $87K |
| Satellite Healthcare Central States, LLC | Laredo, TX | $70K |
| Arkansas Valley Anesthesia Associates, P. A. | Russellville, AR | $25K |
| Lakeshore Family Medicine Associates, Apmc | Monroe, LA | $8K |
| Bloom Township Trustees | Carroll, OH | $2K |
| Asbury Park, INC. | Newton, KS | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.