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    OpenPayerNPI Medicare & MedicaidEagle Oral Surgery And Dental Implant Center PLLC
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    Eagle Oral Surgery And Dental Implant Center PLLC — Billing Profile & Reimbursement Data

    NPI 1780074864 · Eagle, ID · Oral and Maxillofacial Surgery (Dentist)

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    Eagle Oral Surgery And Dental Implant Center PLLC is a oral and maxillofacial surgery (dentist) provider located in Eagle, Idaho. This profile covers 0 Medicare and 11 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
    OrganizationEagle Oral Surgery And Dental Implant Center PLLC
    Address197 W State St
    CityEagle
    StateID
    ZIP83616
    TaxonomyOral and Maxillofacial Surgery (Dentist)
    NPI EnumeratedJanuary 28, 2015

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

    Payer SourceTotal Paid
    Medicaid$486.9K
    Medicare$0

    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.

    11 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…2,230$90$205.3K
    D7240N/A450$240$109.1K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…840$90$77.7K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)1,330$30$42.7K
    D0330N/A480$40$18.7K
    D9222N/A250$50$12.4K
    D9223N/A990$10$7.9K
    41874Alveoloplasty is done prior to placement of a dental prosthesis.  In order to facilitate smooth fitting of the denture, the dentist performs alveoloplasty to make the alveolar process smoother.…40$160$5.9K
    D0140Limited oral evaluation – problem focused680$10$4.1K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.60$40$1.9K

    Showing 1–10 of 11

    Medicaid: Competitive Analysis & Benchmarks

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

    Full comparison — all codes billed, vs. Idaho median

    11 rows

    CPT/HCPCS CodeDescriptionRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    D7240N/A720310$250$308.6K
    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…640220$120$173.7K
    41874Alveoloplasty is done prior to placement of a dental prosthesis.  In order to facilitate smooth fitting of the denture, the dentist performs alveoloplasty to make the alveolar process smoother.…210860$160$140.3K
    99203The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the provider…3422090$80$51.4K
    96374The provider administers a single medication or other substance rapidly into a vein to treat, prevent, or diagnose a condition.2830890$20$47.3K
    D0330N/A55170170$50$35.6K
    D7140Extraction, erupted tooth or exposed root (elevation and/or forceps removal)28110300$30$32.4K
    D0140Limited oral evaluation – problem focused44200190$20$10.7K
    D9222N/A920250$10$9.1K
    99153The provider performing a diagnostic or therapeutic procedure administers medication to reduce consciousness, but not render the patient unconscious or asleep, beyond the 15 minutes of intraservice…31040$50$7.1K

    Showing 1–10 of 11

    Nearby Providers

    Other providers in the same ZIP code as Eagle Oral Surgery And Dental Implant Center PLLC, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Samuel JurcaIDFamily Medicine Physician$24M$0
    All Care Health Solutions-pcs DivisionllcIDHome Health Agency$0$7M
    Ot 4 Kidz, IncIDOccupational Therapist$0$4M
    Speech Tree IncIDSpeech-Language Pathologist$0$1.5M
    Sensory Bin Pediatric Therapy Clinic, PLLCIDOccupational Therapist$0$825.4K
    Ryan JuddIDDental Anesthesiology$0$729.5K
    Kami BellomyIDFamily Nurse Practitioner$480.3K$0
    Adams Eyecare IncIDOptometrist$0$435.4K
    Tdmk, LLCIDHome Health Agency$0$355.3K
    Cody BonineIDFamily Nurse Practitioner$186.8K$0

    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. Idaho Providers
    0 of 7 years billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Claims Volume vs. Idaho Distribution
    Eagle Oral Surgery And Dental Implant Center PLLC — 0 of 11 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Idaho