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

Why is the Medicaid comparison limited to South Carolina 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. South Carolina (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.

Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A. (NPI 1770707887)

Field	Value
Entity Type	Organization
Organization	Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A.
Address	227 S Pendleton St
City	Easley
State	SC
ZIP	29640
Taxonomy	Oral and Maxillofacial Surgery (Dentist)
NPI Enumerated	April 12, 2007

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.

9 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
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…	2,550	$130	$341.6K
D7240	N/A	1,170	$270	$319.1K
D9223	N/A	2,720	$90	$245K
D9222	N/A	2,720	$90	$242.1K
D7230	N/A	650	$230	$147.8K
D0140	Limited oral evaluation – problem focused	3,810	$40	$140.8K
D9310	N/A	1,490	$60	$90.6K
D0330	N/A	910	$50	$43.7K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	110	$80	$8K

Medicaid: Competitive Analysis & Benchmarks

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

Claims Volume vs. South Carolina Distribution

Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A. — 2 of 9 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — South Carolina

Full comparison — all codes billed, vs. South Carolina median

9 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
D7240	N/A	19	60	450	$260	$370K
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…	12	120	170	$130	$125.1K
D7140	Extraction, erupted tooth or exposed root (elevation and/or forceps removal)	212	290	380	$90	$125K
D9223	N/A	5	70	370	$80	$85.3K
D7230	N/A	6	30	140	$210	$80.1K
D9222	N/A	6	70	280	$90	$74.9K
D0330	N/A	137	460	370	$50	$54.4K
D0140	Limited oral evaluation – problem focused	21	440	360	$40	$35.2K
D9310	N/A	2	50	120	$60	$18.4K

Nearby Providers

Other providers in the same ZIP code as Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A., ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Pickens County Board Of Disabilities And Special Needs	SC	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility	$0	$20.3M
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$9.3M
Woodruff Road Urgent Care Center, P.C.	SC	Urgent Care Clinic/Center	$0	$7.3M
School District Of Pickens County	SC	Local Education Agency (LEA)	$0	$6.4M
National Seating & Mobility Inc	SC	Durable Medical Equipment & Medical Supplies	$0	$4.7M
Prisma Health University Medical Group	SC	Family Medicine Physician	$0	$4.7M
Pickens County Commission On Alcohol & Drug Abuse	SC	Substance Use Disorder Rehabilitation Clinic/Center	$0	$2.4M
Recovery Concepts Of Carolina Upst LLC	SC	Methadone Clinic	$0	$2.3M
Prisma Health-upstate	SC	General Acute Care Hospital	$0	$1.8M
Freedom 1st Medical Transport	SC	Land Ambulance	$534.1K	$0

Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A. — Billing Profile & Reimbursement Data

Sign up for Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A. — Billing Profile & Reimbursement Data policy alerts

Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A. — Billing Profile & Reimbursement Data

Sign up for Upstate Oral & Maxillofacial Surgery & Dental Implant Center, P.A. — 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