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    OpenPayerNPI Medicare & MedicaidVi Oral Surgery, Inc
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    Vi Oral Surgery, Inc — Billing Profile & Reimbursement Data

    NPI 1548412620 · St Thomas, VI · Oral and Maxillofacial Surgery (Dentist)

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    Vi Oral Surgery, Inc is a oral and maxillofacial surgery (dentist) provider located in St Thomas, U.S. Virgin Islands. This profile covers 0 Medicare and 12 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeOrganization
    OrganizationVi Oral Surgery, Inc
    Address9149 Estate Thomas
    CitySt Thomas
    StateVI
    ZIP00802
    TaxonomyOral and Maxillofacial Surgery (Dentist)
    NPI EnumeratedOctober 21, 2008

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicaid$1.4M
    Medicare$0

    Key Findings

    This provider has no Medicare billing on file and $1.4M in lifetime Medicaid revenue, making it effectively a single‑payer (Medicaid-focused) practice in the available claims data. Analysts should treat Medicare-level comparisons as not applicable for this entity given the absence of Medicare activity.

    The provider’s NPI was enumerated on 2008-10-21 (~18 years ago), indicating an established presence in the market rather than a newly created billing entity; that tenure supports interpreting observed patterns as part of a sustained local practice.

    Revenue is highly concentrated: the precomputed top 3 Medicaid codes account for 59.7% of the provider’s total Medicaid revenue. The single largest code is D7210, which generated $431.6K (30.0% of Medicaid revenue), followed by D7140 with $224.7K (15.6%) and D9310 with $203.3K (14.1%), indicating dependence on a narrow set of services for the majority of Medicaid receipts.

    The service mix, based on code descriptions, is extraction‑ and oral‑surgery focused: D7210 (surgical extraction requiring removal of bone/sectioning) and D7140 (simple extraction) are the two highest‑revenue codes, which suggests the practice operates largely as an oral and maxillofacial surgery site performing high‑volume extractions and related procedures. The presence of D9223 with a $880 avg paid/claim and $178.6K in revenue (12.4%) also indicates the practice bills for some higher‑paid procedures alongside routine extractions.

    Competitive standing across the top codes is modest statewide rather than dominant: D7210 ranks #2 of 4 providers in-state (67th percentile; labeled typical, unremarkable volume), D7140 ranks #5 of 9 (50th percentile; typical, unremarkable volume), and D9310 ranks #3 of 6 (60th percentile; typical, unremarkable volume). While the provider is a visible participant for core extraction codes, its percentile ranks indicate typical volumes among in‑state peers rather than clear market leadership.

    There are a few codes where the provider ranks at the top of a very small peer set—e.g., D7250 ranks #1 of 2 providers in-state (100th percentile; typical, unremarkable volume) and several codes are listed as rank #1 of 1 provider—yet those comparisons are based on tiny peer pools and should be interpreted cautiously when assessing true market dominance. These single‑peer or sole‑provider ranks reflect a unique coding footprint for some services but do not by themselves indicate broad statewide dominance.

    Claim volumes for the highest‑revenue procedures are substantial: D7210 shows 1.5K claims, D9310 shows 1.4K claims, and D7140 shows 1.1K claims, supporting the characterization of a high‑throughput surgical extraction practice. Coupled with the revenue concentration noted above, the claim counts underline that day‑to‑day operations are driven by frequent extraction and associated procedure billing.

    Several low‑revenue or anomalous line items warrant attention in operational reviews: D0431 shows 13 claims with $0 avg paid/claim and $0 revenue, and a number of codes appear with small volumes (single‑digit to low double‑digit claim counts) or sole‑provider ranks (e.g., D7230, D9610, D7311). These entries likely reflect niche services or limited utilization and should be reviewed in the context of billing practices and case mix rather than interpreted as major revenue drivers.

    Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

    Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.

    View: By Year1 / 3

    Medicaid: Complete Services Breakdown

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

    12 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    D7210Extraction, 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…1,470$290$431.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1,120$200$224.7K
    D9310N/A1,380$150$203.3K
    D9223N/A200$880$178.6K
    D0330N/A1,420$120$174K
    D7250N/A500$320$156.7K
    D7230N/A150$390$58K
    D9610N/A60$90$5.8K
    D7311N/A20$360$5.5K
    D0140Limited oral evaluation – problem focused10$90$1.2K

    Showing 1–10 of 12

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. U.S. Virgin Islands median

    12 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7210Extraction, 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…2101,020$270$320.4K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)5101,120$160$299.5K
    D0330N/A4101,190$100$161.7K
    D0140Limited oral evaluation – problem focused7102,520$70$156K
    D0150Comprehensive oral evaluation – new or established patient1110610$90$153.7K
    D9223N/A210220$420$94.2K
    D9310N/A310820$110$94.1K
    D7250N/A110290$310$89K
    D7230N/A110150$390$58K
    D9610N/A11060$90$5.8K

    Showing 1–10 of 12

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Vi Oral Surgery, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Horace GriffithVILegal Medicine$820$0

    Nearby Providers

    Other providers in the same ZIP code as Vi Oral Surgery, Inc, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Duanne JonesVIPublic Health Dentistry$0$33.2M
    Vi Government Hospital And Health Facilities CorpVIGeneral Acute Care Hospital$0$23.6M
    The St Thomas East End Medical Center CorporationVIFederal Public Health Clinic/Center$0$12.8M
    Aac-air Ambulance Caribbean Inc.VIAir Ambulance$2M$8.6M
    Vi Relocation Services And Rentals LLCVILand Ambulance$0$6.8M
    Alicia PrenticeVIHome Health Aide$0$3.9M
    Stretcher Plus, LLCVINon-emergency Medical Transport (VAN)$0$2.8M
    Cog Restore, LLCVIRehabilitation Clinic/Center$0$2.1M
    Dept Of Health, Govt Of Vi Ems St ThomasVILand Ambulance$0$1.5M
    Department Of HealthVIAmbulatory Family Planning Facility$0$1.3M

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

    Medicaid Revenue by Year vs. U.S. Virgin Islands Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. U.S. Virgin Islands Distribution
    Vi Oral Surgery, Inc — 1 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — U.S. Virgin Islands