Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Alabama for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Alabama only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Alabama (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Oral & Facial Surgery Of The Shoals, L.L.C. (NPI 1083662290)

Field	Value
Entity Type	Organization
Organization	Oral & Facial Surgery Of The Shoals, L.L.C.
Address	398 Ashe Blvd
City	Sheffield
State	AL
ZIP	35660
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	May 4, 2006

Payer Source	Total Paid
Medicaid	$1.6M
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	6,030	$140	$850.5K
D9222	N/A	3,270	$100	$310.7K
D9223	N/A	3,520	$80	$277.8K
D0140	Limited oral evaluation – problem focused	5,960	$20	$125.2K
D0330	N/A	2,330	$10	$25.7K
D9310	N/A	460	$40	$20.2K
D7230	N/A	280	$30	$9.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	470	$20	$9.3K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	100	$20	$2K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	20	$20	$530

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Alabama providers billing the same CPT/HCPCS codes.

Claims Volume vs. Alabama Distribution

Oral & Facial Surgery Of The Shoals, L.L.C. — 1 of 10 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Alabama

Full comparison — all codes billed, vs. Alabama median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	6	60	610	$180	$336.5K
D7230	N/A	16	30	310	$160	$263.3K
D9222	N/A	8	50	430	$120	$172.6K
D9223	N/A	7	50	520	$90	$133K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	95	190	490	$50	$76.2K
D0330	N/A	78	390	410	$40	$61.2K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth, and including elevation; includes related cutting of gingiva and bone, removal of tooth structure, minor smoothing of…	11	20	120	$80	$25K
D0140	Limited oral evaluation – problem focused	7	270	320	$30	$24.9K
D9310	N/A	4	10	80	$50	$11.8K
99202	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves straightforward medical decision making, and/or the provider…	107	140	50	$40	$7.5K

Nearby Providers

Other providers in the same ZIP code as Oral & Facial Surgery Of The Shoals, L.L.C., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Shoals Primary Care, LLC	AL	Family Medicine Physician	$0	$5.8M
Hh Health System - Shoals LLC	AL	General Acute Care Hospital	$0	$5M
Northwest Alabama Health Services, LLC	AL	Ambulance	$1.3M	$2.3M
Northwest Emergency Physician Group	AL	Emergency Medicine Physician	$0	$2.8M
Colbert County Health Dept Fp Clinic	AL	Public Health or Welfare Agency	$0	$1.9M
State Of Alabama Department Of Public Health	AL	Home Health Agency	$0	$1.3M
Faith Based Psychological Associates, Inc	AL	Community/Behavioral Health Agency	$0	$1.3M
Jerry Williams	AL	Cardiovascular Disease Physician	$370.6K	$0
Charles Thompson	AL	Family Medicine Physician	$303.5K	$0
Anthony Horton	AL	Family Medicine Physician	$301.9K	$0

Oral & Facial Surgery Of The Shoals, L.L.C. — Billing Profile & Reimbursement Data

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Oral & Facial Surgery Of The Shoals, L.L.C. — Billing Profile & Reimbursement Data

Sign up for Oral & Facial Surgery Of The Shoals, L.L.C. — Billing Profile & Reimbursement Data policy alerts

Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References