Souri, Saman

Souri, Saman was paid $420K by Medicaid between Jan 2018 and Apr 2021, across 8 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 46% of everything it billed.

33Billing provider infoSOURI, SAMAN
HARLEYSVILLE, PA 19438

33aNPI1114241452assigned 03/15/2010

33bProvider typeDentist

28Total paid$420K

24GClaims3,090

24DCodes billed8

24AFirst – last monthJan 2018 – Apr 2021

Compared with peers

Next to other Dentist providers in Pennsylvania

Rank by total paid#59 of 683

Median peer was paid$34K

This provider vs. median12×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2018	951	$141K
2019	876	$114K
2020	765	$114K
2021	498	$51K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7240	Removal of impacted tooth - completely bony	46%	734	254	$194K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	25%	608	555	$104K
D9222		9.4%	565	554	$39K
D9310		8.5%	776	753	$36K
D7230		6.6%	157	75	$28K
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	3.6%	161	83	$15K
D0330	Panoramic radiographic image	<1%	76	74	$3K
D0150	Comprehensive oral evaluation - new or established patient	<1%	13	13	$306.39

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.