This provider's $9.6M in total Medicare payments ranks in the 99th percentile of Oral Surgery (Dentist only) providers nationally.
Medicare payments to this provider grew 476% from 2018 to 2023.
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 934% in 2019
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2018 | $1.4K | $679.64 | 2.11x | $754.74 | $191.7K | 369 | 306 |
| 2019 | $1.3K | $600.16 | 2.19x | $715.26 | $2.0M | 3.3K | 2.2K |
| 2020 | $1.3K | $535.99 | 2.34x | $719.58 | $1.9M | 3.4K | 2.1K |
| 2021 | $1.3K | $536.35 | 2.40x | $752.15 | $2.6M | 4.4K | 2.9K |
| 2022 | $1.3K | $509.61 | 2.46x | $742.19 | $1.8M | 3.5K | 2.3K |
| 2023 | $1.2K | $500.77 | 2.47x | $736.34 | $1.1M | 2.3K | 1.6K |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 21215 | Repair of lower jaw bone with bone graft | 1.1K | $3.7M | $3.3K | 1.79x |
| 21210 | Repair of nasal or cheek bone with bone graft | 1.2K | $1.8M | $1.5K | 2.47x |
| 21079 | Impression and custom preparation of temporary oral prosthesis | 1.0K | $1.3M | $1.2K | 1.57x |
| 21208 | Incision and repair of bony defect of cheek bone with repositioning of bony segment | 1.2K | $850.9K | $719.86 | 2.61x |
| 21248 | Partial reconstruction of lower jaw or cheek bone with insertion of implant | 809 | $357.1K | $441.43 | 3.84x |
| 21085 | Impression and custom preparation of oral surgical splint | 631 | $258.7K | $410.06 | 3.58x |
| 21249 | Reconstruction of lower jaw or cheek bone with insertion of implant | 438 | $257.9K | $588.73 | 3.39x |
| 99214 | Established patient office or other outpatient, visit typically 25 minutes | 2.2K | $202.7K | $94.12 | 1.59x |
| 21025 | Removal of lower jaw bone | 373 | $126.7K | $339.72 | 2.94x |
| 21040 | Removal and/or scraping of lower jaw bone growth or cyst | 557 | $121.2K | $217.61 | 2.68x |
| 21030 | Removal or scraping of upper jaw or cheek bone growth or cyst | 559 | $116.6K | $208.60 | 3.63x |
| 21026 | Removal of facial bones | 415 | $95.4K | $229.81 | 3.48x |
| 99204 | New patient office or other outpatient visit, typically 45 minutes | 792 | $93.9K | $118.50 | 1.90x |
| 70355 | X-ray imaging of teeth | 3.7K | $57.1K | $15.50 | 2.26x |
| 70486 | CT scan of face | 1.5K | $50.3K | $33.83 | 1.63x |
| 41826 | Removal of growth of dental bone with repair | 219 | $33.7K | $153.82 | 2.60x |
| 20680 | Removal of deep bone implant | 99 | $28.0K | $282.43 | 3.02x |
| 31030 | Incision of nasal sinus | 71 | $20.1K | $283.60 | 2.82x |
| 30580 | Repair of abnormal drainage tract between two nasal sinuses | 72 | $18.8K | $261.38 | 2.68x |
| 99205 | New patient office or other outpatient visit, typically 60 minutes | 36 | $6.1K | $168.45 | 1.63x |
This provider submits charges 2.21 times higher than what Medicare actually pays.
A markup ratio of 2.21x means for every $100 Medicare pays, this provider initially charges $221. This is higher than the national average.
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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