Dental
Pellegrino, Renee
Pellegrino, Renee was paid $637K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoPELLEGRINO, RENEE
ROCHESTER, NY 14621
ROCHESTER, NY 14621
33aNPI1023240173assigned 08/21/2009
33bProvider typeDentist
28Total paid$637K
24GClaims14,750
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#164 of 1,649
Median peer was paid$49K
This provider vs. median13×
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 | 2,610 | $114K | |
| 2019 | 3,672 | $178K | |
| 2020 | 4,248 | $164K | |
| 2021 | 1,944 | $95K | |
| 2023 | 831 | $37K | |
| 2024incomplete | 1,445 | $50K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 2,030 | 2,029 | $134K |
| D7140 | Extraction, erupted tooth or exposed root | 21% | 1,552 | 1,128 | $131K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 668 | 541 | $65K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.4% | 1,612 | 1,612 | $53K |
| D0140 | Limited oral evaluation - problem focused | 6.2% | 2,257 | 2,249 | $40K |
| D0274 | Bitewings - four radiographic images | 5.6% | 1,054 | 1,054 | $36K |
| D0220 | Intraoral - periapical first radiographic image | 5.3% | 2,056 | 2,030 | $34K |
| D0210 | Intraoral - complete series of radiographic images | 5.1% | 492 | 492 | $32K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 901 | 901 | $30K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.6% | 447 | 336 | $29K |
| D0330 | Panoramic radiographic image | 1.8% | 253 | 253 | $11K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.5% | 80 | 75 | $10K |
7 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.4% | 57 | $9K |
| D1120 | Dental cleaning, child | 1.4% | 179 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 317 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 248 | $4K |
| D1206 | Topical application of fluoride varnish | <1% | 128 | $4K |
| D9991 | 0% | 110 | $0.00 | |
| D9995 | 0% | 309 | $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.