Great Bay Oral Surgery Associates PA

Great Bay Oral Surgery Associates PA was paid $59K by Medicaid between Jan 2018 and Jan 2023, across 5 billing codes. Its largest line is D9222, — 30% of everything it billed.

33Billing provider infoGREAT BAY ORAL SURGERY ASSOCIATES PA
SOMERSWORTH, NH 03878

33aNPI1871613539assigned 03/29/2007

33bProvider typeOral and Maxillofacial Surgery (Dentist)

28Total paid$59K

24GClaims715

24DCodes billed5

24AFirst – last monthJan 2018 – Jan 2023

Compared with peers

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

Rank by total paid#6 of 9

Median peer was paid$63K

This provider vs. median0.9×

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	277	$25K
2019	87	$7K
2020	78	$6K
2021	123	$9K
2022	99	$8K
2023	51	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D9222		30%	90	80	$18K
D0150	Comprehensive oral evaluation - new or established patient	28%	324	293	$17K
D7140	Extraction, erupted tooth or exposed root	27%	164	46	$16K
D9223	Deep sedation/general anesthesia - each subsequent 15 minute increment	12%	99	80	$7K
D0140	Limited oral evaluation - problem focused	2.9%	38	38	$2K

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 officialSCARAMELLA, SHARON (PRACTICE ADMINSTRATOR)