Dental
Spark Oral Surgery PA, PLLC
Spark Oral Surgery PA, PLLC was paid $44K by Medicaid between Aug 2024 and Oct 2024, across 6 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 48% of everything it billed.
33Billing provider infoSPARK ORAL SURGERY PA, PLLC
HAZLE TOWNSHIP, PA 18202
HAZLE TOWNSHIP, PA 18202
33aNPI1316728652assigned 10/12/2023
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$44K
24GClaims272
24DCodes billed6
24AFirst – last monthAug 2024 – Oct 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Pennsylvania
Rank by total paid#81 of 114
Median peer was paid$117K
This provider vs. median0.4×
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 | |
|---|---|---|---|
| 2024incomplete | 272 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 48% | 50 | 28 | $21K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 16% | 28 | 20 | $7K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 14% | 49 | 47 | $6K |
| D9222 | 14% | 49 | 47 | $6K | |
| D0140 | Limited oral evaluation - problem focused | 8.1% | 76 | 73 | $4K |
| D9612 | 0% | 20 | 19 | $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 officialLE, PHI (GENERAL COUNSEL)
| Provider | Location | Paid |
|---|---|---|
| Spark Orthodontics | Philadelphia, PA | $1.34M |
| NJ DFC Orthodontics, LLC | Lakewood, NJ | $443K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.