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 Tennessee for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Tennessee 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. Tennessee (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.

East Tennessee Oral & Maxillofacial Surgery, PC (NPI 1174624498)

Field	Value
Entity Type	Organization
Organization	East Tennessee Oral & Maxillofacial Surgery, PC
Address	1505 E Lamar Alexander Pkwy
City	Maryville
State	TN
ZIP	37804
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	September 26, 2006

Payer Source	Total Paid
Medicaid	$7.1M
Medicare	$0

Medicaid: Complete Services Breakdown

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

18 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
D7240	N/A	10,700	$230	$2.4M
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…	10,760	$110	$1.2M
D9223	N/A	11,120	$80	$922.8K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	13,910	$60	$848.6K
D9222	N/A	9,450	$80	$784.6K
D0140	Limited oral evaluation – problem focused	16,530	$20	$380.1K
D7230	N/A	1,550	$200	$304.6K
D0330	N/A	4,860	$20	$102.1K
D7310	N/A	790	$100	$81.4K
D7250	N/A	670	$110	$72.4K

Showing 1–10 of 18

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. Tennessee Distribution

East Tennessee Oral & Maxillofacial Surgery, PC — 8 of 17 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Tennessee

Full comparison — all codes billed, vs. Tennessee median

18 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	1	60	500	$230	$316.3K
D9223	N/A	1	80	710	$80	$143.8K
D0120	Periodic oral evaluation - established patient	684	720	980	$20	$106.4K
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…	1	130	240	$110	$89.9K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	7	370	350	$60	$82.8K
D7230	N/A	2	30	140	$210	$78K
D9222	N/A	1	80	470	$80	$75.9K
D9230	N/A	227	360	620	$30	$61.2K
D7250	N/A	5	20	280	$90	$40.8K
D0330	N/A	24	620	340	$40	$35.9K

Showing 1–10 of 18

Nearby Providers

Other providers in the same ZIP code as East Tennessee Oral & Maxillofacial Surgery, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
App Of Tennessee Ed, PLLC	TN	Emergency Medicine Physician	$0	$30.3M
Prisma Health - Blount Memorial Hospital Inc.	TN	General Acute Care Hospital	$0	$14.8M
Speech Pathology Services Of East Tennessee LLC	TN	Rehabilitation Clinic/Center	$0	$9.3M
East Tennessee Addiction Specialists	TN	Substance Use Disorder Rehabilitation Clinic/Center	$0	$6.5M
Open Hearts Open Arms	TN	Intellectual and/or Developmental Disabilities Residential Treatment Facility	$0	$4.8M
Foothills Pediatric Dentristry, P.C.	TN	Pediatric Dentistry	$0	$2.2M
Maryville Asc	TN	Ambulatory Surgical Clinic/Center	$350.4K	$141.2K
Molecular Pathology Laboratory Network Inc	TN	Clinical Medical Laboratory	$369.4K	$60.8K
Donna Brantley	TN	Family Nurse Practitioner	$263.1K	$0
Robert Ivy	TN	Orthopaedic Hand Surgery Physician	$231.7K	$0

East Tennessee Oral & Maxillofacial Surgery, PC — Billing Profile & Reimbursement Data

Sign up for East Tennessee Oral & Maxillofacial Surgery, PC — Billing Profile & Reimbursement Data policy alerts

East Tennessee Oral & Maxillofacial Surgery, PC — Billing Profile & Reimbursement Data

Sign up for East Tennessee Oral & Maxillofacial Surgery, PC — 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