Dental
North Country Pediatric Dentistry PLLC
North Country Pediatric Dentistry PLLC was paid $9.49M by Medicaid between Jan 2018 and Dec 2024, across 39 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoNORTH COUNTRY PEDIATRIC DENTISTRY PLLC
PLATTSBURGH, NY 12901
PLATTSBURGH, NY 12901
33aNPI1003232463assigned 03/10/2014
33bProvider typeDentist Anesthesiologist
28Total paid$9.49M
24GClaims243,615
24DCodes billed39
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist Anesthesiologist providers in New York
Rank by total paid#2 of 13
Median peer was paid$1.03M
This provider vs. median9.2×
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 | 28,239 | $1.05M | |
| 2019 | 29,964 | $934K | |
| 2020 | 38,411 | $1.28M | |
| 2021 | 49,891 | $1.84M | |
| 2022 | 30,562 | $1.48M | |
| 2023 | 29,575 | $1.30M | |
| 2024incomplete | 36,973 | $1.59M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 29,926 | 29,903 | $1.77M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 31,801 | 31,777 | $1.27M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 6,622 | 5,840 | $1.11M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.1% | 2,659 | 1,895 | $677K |
| D1206 | Topical application of fluoride varnish | 7.0% | 16,093 | 16,062 | $663K |
| D1351 | Sealant - per tooth | 6.8% | 5,902 | 3,699 | $649K |
| D0272 | Bitewings - two radiographic images | 5.7% | 22,904 | 22,856 | $537K |
| D1110 | Prophylaxis - adult | 5.5% | 6,582 | 6,579 | $522K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.3% | 4,055 | 3,685 | $412K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 19,234 | 19,220 | $371K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 15,984 | 15,862 | $310K |
| D7140 | Extraction, erupted tooth or exposed root | 2.5% | 2,753 | 2,403 | $238K |
27 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.6% | 929 | $150K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 11,972 | $138K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.2% | 2,903 | $118K |
| D0274 | Bitewings - four radiographic images | 1.2% | 2,915 | $117K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.2% | 383 | $117K |
| D9995 | <1% | 3,178 | $72K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 302 | $63K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 5,370 | $39K |
| D9222 | <1% | 323 | $32K | |
| D1354 | <1% | 1,276 | $30K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,015 | $20K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 431 | $18K |
| D2332 | <1% | 61 | $14K | |
| D2330 | <1% | 112 | $13K | |
| D0330 | Panoramic radiographic image | <1% | 153 | $8K |
| D0270 | <1% | 228 | $4K | |
| D1510 | <1% | 13 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 101 | $1K |
| D9430 | <1% | 40 | $1K | |
| D0160 | <1% | 14 | $568.40 | |
| D0273 | <1% | 13 | $260.00 | |
| D1330 | <1% | 19,235 | $84.00 | |
| D1999 | 0% | 7,747 | $0.00 | |
| D0601 | 0% | 3,417 | $0.00 | |
| D0603 | 0% | 11,119 | $0.00 | |
| D0602 | 0% | 4,292 | $0.00 | |
| D1310 | 0% | 1,558 | $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 officialJACOBSON, BARRY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Laser Dentistry for Children LLC | Flushing, NY | $12.37M |
| Pediatric Dentistry of Kingston PLLC | Kingston, NY | $12.26M |
| LDFCB Dentistry | Bronx, NY | $8.66M |
| New Jersey Laser Dentistry | Teaneck, NJ | $8.50M |
| Pediatric Dentistry of Monsey | Suffern, NY | $5.54M |
| Pediatric Dentistry of Albany, PLLC | Albany, NY | $3.91M |
| Green Mountain Pediatric Dentistry, PLLC | South Burlington, VT | $1.29M |
| Laser Dentistry for Children | Teaneck, NJ | $1.17M |
| Pediatric Dentistry on Park PLLC | New York, NY | $392K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.