Clinic
Red Lion Surgicenter, LLC
Red Lion Surgicenter, LLC was paid $10.13M by Medicaid between Jan 2020 and Dec 2024, across 21 billing codes. Its largest line is 41899, Unlisted procedure, dentoalveolar structures — 50% of everything it billed.
33Billing provider infoRED LION SURGICENTER, LLC
PHILADELPHIA, PA 19115
PHILADELPHIA, PA 19115
33aNPI1215038252assigned 09/25/2006
33bProvider typeAmbulatory Surgical Clinic/Center
28Total paid$10.13M
24GClaims53,150
24DCodes billed21
24AFirst – last monthJan 2020 – Dec 2024
Compared with peers
Next to other Ambulatory Surgical Clinic/Center providers in Pennsylvania
Rank by total paid#3 of 119
Median peer was paid$57K
This provider vs. median176×
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 | |
|---|---|---|---|
| 2020 | 10,738 | $969K | |
| 2021 | 19,020 | $2.14M | |
| 2022 | 10,294 | $1.90M | |
| 2023 | 4,335 | $2.37M | |
| 2024incomplete | 8,763 | $2.75M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 41899 | Unlisted procedure, dentoalveolar structures | 50% | 4,880 | 2,806 | $5.07M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 39% | 8,057 | 4,073 | $3.91M |
| D2933 | 5.1% | 1,319 | 620 | $517K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.2% | 4,319 | 2,160 | $424K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 804 | 523 | $87K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 2,686 | 1,141 | $32K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 3,532 | 3,410 | $31K |
| D2929 | <1% | 14 | 14 | $21K | |
| D2330 | <1% | 332 | 168 | $12K | |
| D3230 | <1% | 383 | 170 | $9K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 2,881 | 1,386 | $8K |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 3,325 | 3,199 | $5K |
9 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 163 | $4K |
| D2331 | <1% | 167 | $2K | |
| D0240 | <1% | 3,723 | $500.00 | |
| D0220 | Intraoral - periapical first radiographic image | 0% | 2,938 | $0.00 |
| D1510 | 0% | 163 | $0.00 | |
| D1206 | Topical application of fluoride varnish | 0% | 3,616 | $0.00 |
| D0230 | Intraoral - periapical each additional radiographic image | 0% | 6,807 | $0.00 |
| D0272 | Bitewings - two radiographic images | 0% | 2,888 | $0.00 |
| D1351 | Sealant - per tooth | 0% | 153 | $0.00 |
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 officialBRESLER, JOSHUA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Special Touch Dentistry, LLC | Philadelphia, PA | $1.44M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.