Oral & Maxillofacial Surgery of Queens, LLC

Oral & Maxillofacial Surgery of Queens, LLC was paid $71K by Medicaid between Jan 2018 and Oct 2019, across 5 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 33% of everything it billed.

33Billing provider infoORAL & MAXILLOFACIAL SURGERY OF QUEENS, LLC
JACKSON HEIGHTS, NY 11372

33aNPI1205224631assigned 01/08/2015

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$71K

24GClaims2,542

24DCodes billed5

24AFirst – last monthJan 2018 – Oct 2019

Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in New York

Rank by total paid#128 of 221

Median peer was paid$109K

This provider vs. median0.6×

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	1,851	$56K
2019	691	$15K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D7210	Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth	33%	342	332	$23K
D0330	Panoramic radiographic image	27%	921	917	$19K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	17%	155	152	$12K
D0140	Limited oral evaluation - problem focused	13%	972	966	$9K
D9222		11%	152	151	$7K

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.

From NPPES

Who's on the registration

Authorized officialSADEGHI, ARIAN (OWNER)