PA SURGERY GROUP LLC
NPI: 1891477162
· PHILADELPHIA, PA 19102
· Oral and Maxillofacial Surgery (Dentist)
· NPI assigned 08/04/2023
$199K
Total Medicaid Paid
2,390
Beneficiary Records
Provider Details
| Authorized Official | MOHAMMAD, ALI (SURGEON) |
| NPI Enumeration Date | 08/04/2023 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2024 |
2,824 |
$199K |
Billing Codes
| Code | Description | Claims | Bene. Records | Total Paid |
|---|
| D9223 |
Deep sedation/general anesthesia - each subsequent 15 minute increment |
283 |
206 |
$54K |
| D7210 |
Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth |
520 |
286 |
$44K |
| D0140 |
Limited oral evaluation - problem focused |
859 |
824 |
$32K |
| D9222 |
|
207 |
206 |
$22K |
| D0330 |
Panoramic radiographic image |
548 |
540 |
$15K |
| D7240 |
Removal of impacted tooth - completely bony |
56 |
36 |
$14K |
| D7230 |
|
41 |
28 |
$7K |
| D7250 |
|
47 |
33 |
$5K |
| D7310 |
|
109 |
78 |
$5K |
| D9610 |
|
154 |
153 |
$24.04 |