Dental
PA Surgery Group LLC
PA Surgery Group LLC was paid $199K by Medicaid between Mar 2024 and Dec 2024, across 10 billing codes. Its largest line is D9223, Deep sedation/general anesthesia - each subsequent 15 minute increment — 27% of everything it billed.
33Billing provider infoPA SURGERY GROUP LLC
PHILADELPHIA, PA 19102
PHILADELPHIA, PA 19102
33aNPI1891477162assigned 08/04/2023
33bProvider typeOral and Maxillofacial Surgery (Dentist)
28Total paid$199K
24GClaims2,824
24DCodes billed10
24AFirst – last monthMar 2024 – Dec 2024
Compared with peers
Next to other Oral and Maxillofacial Surgery (Dentist) providers in Pennsylvania
Rank by total paid#48 of 114
Median peer was paid$117K
This provider vs. median1.7×
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 | |
|---|---|---|---|
| 2024incomplete | 2,824 | $199K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 27% | 283 | 206 | $54K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 22% | 520 | 286 | $44K |
| D0140 | Limited oral evaluation - problem focused | 16% | 859 | 824 | $32K |
| D9222 | 11% | 207 | 206 | $22K | |
| D0330 | Panoramic radiographic image | 7.4% | 548 | 540 | $15K |
| D7240 | Removal of impacted tooth - completely bony | 7.2% | 56 | 36 | $14K |
| D7230 | 3.7% | 41 | 28 | $7K | |
| D7250 | 2.6% | 47 | 33 | $5K | |
| D7310 | 2.4% | 109 | 78 | $5K | |
| D9610 | <1% | 154 | 153 | $24.04 |
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 officialMOHAMMAD, ALI (SURGEON)