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 Al, PC (NPI 1245340892)

Field	Value
Entity Type	Organization
Organization	Oral & Facial Surgery Of Al, PC
Address	1500 19th St S
City	Birmingham
State	AL
ZIP	35205
Taxonomy	Specialist
NPI Enumerated	August 30, 2006

Payer Source	Total Paid
Medicaid	$6.4M
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
D7230	N/A	14,230	$160	$2.3M
D7240	N/A	10,080	$190	$1.9M
D9222	N/A	10,710	$130	$1.3M
D9223	N/A	5,560	$100	$578.3K
D0330	N/A	5,060	$20	$116.4K
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…	980	$90	$91.7K
D7220	N/A	340	$130	$44.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	160	$60	$9.1K
D0140	Limited oral evaluation – problem focused	60	$30	$1.5K
D9612	N/A	30	$1	$50

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 Al, PC — 4 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	2	60	610	$180	$336.5K
D7230	N/A	1	30	310	$160	$263.3K
D9222	N/A	1	50	430	$120	$172.6K
D9223	N/A	3	50	520	$90	$133K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	126	190	490	$50	$76.2K
D0330	N/A	33	390	410	$40	$61.2K
D7220	N/A	2	10	340	$130	$37.5K
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…	2	20	120	$80	$25K
D0140	Limited oral evaluation – problem focused	195	270	320	$30	$24.9K
D9612	N/A	10	10	160	$1	$460

Nearby Providers

Other providers in the same ZIP code as Oral & Facial Surgery Of Al, PC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Paragon Contracting Services LLC	AL	Emergency Medicine Physician	$0	$54.5M
Pediatric Dental Associates Of Birmingham, LLC	AL	Pediatric Dentistry	$0	$6.1M
University Of Alabama At Birmingham	AL	Developmental Disabilities Clinic/Center	$0	$4.8M
Magnolia Pediatrics South Inc	AL	Pediatric Adolescent Medicine Physician	$0	$2.9M
Birmingham Pediatric Assoc	AL	Pediatrics Physician	$0	$2.5M
Alabama Ophthalmology Associates, P.C.	AL	Ophthalmology Physician	$0	$2.1M
St. Vincent's P.e.t. Center, LLC	AL	Diagnostic Radiology Physician	$1.6M	$0
St. Vincent's Birmingham	AL	General Acute Care Hospital	$0	$1.3M
Cara Bondly	AL	Hematology & Oncology Physician	$986.3K	$0
Redmont Pediatric Associates, P.C.	AL	Specialist	$0	$946.2K

Oral & Facial Surgery Of Al, PC — Billing Profile & Reimbursement Data

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Oral & Facial Surgery Of Al, PC — Billing Profile & Reimbursement Data

Sign up for Oral & Facial Surgery Of Al, 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