Dental
North Shore Oral Surgery, LLC
North Shore Oral Surgery, LLC was paid $398K by Medicaid between Jan 2018 and Jul 2024, across 6 billing codes. Its largest line is D7240, Removal of impacted tooth - completely bony — 26% of everything it billed.
33Billing provider infoNORTH SHORE ORAL SURGERY, LLC
SMITHTOWN, NY 11787
SMITHTOWN, NY 11787
33aNPI1619249059assigned 02/01/2012
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$398K
24GClaims5,117
24DCodes billed6
24AFirst – last monthJan 2018 – Jul 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in New York
Rank by total paid#65 of 221
Median peer was paid$109K
This provider vs. median3.7×
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 | 353 | $20K | |
| 2019 | 767 | $48K | |
| 2020 | 696 | $43K | |
| 2021 | 1,142 | $106K | |
| 2022 | 859 | $94K | |
| 2023 | 883 | $59K | |
| 2024incomplete | 417 | $28K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7240 | Removal of impacted tooth - completely bony | 26% | 254 | 182 | $103K |
| D9243 | 24% | 781 | 755 | $97K | |
| D9310 | 24% | 1,612 | 1,611 | $97K | |
| D0330 | Panoramic radiographic image | 13% | 1,659 | 1,659 | $51K |
| D9239 | 11% | 759 | 755 | $42K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 52 | 50 | $8K |
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 officialMONTAZEM, ALEX (DOCTOR/OWNER)