Botty, Michael

Botty, Michael was paid $77K by Medicaid between Jan 2018 and Feb 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 29% of everything it billed.

33Billing provider infoBOTTY, MICHAEL
FULTON, NY 13069

33aNPI1033112412assigned 05/31/2005

33bProvider typeGeneral Practice Dentistry

28Total paid$77K

24GClaims2,204

24DCodes billed11

24AFirst – last monthJan 2018 – Feb 2021

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#957 of 2,184

Median peer was paid$54K

This provider vs. median1.4×

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	986	$31K
2019	1,152	$43K
2021	66	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	29%	419	419	$23K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	25%	683	679	$19K
D0274	Bitewings - four radiographic images	13%	349	349	$10K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	13%	112	55	$10K
D1120	Dental cleaning, childProphylaxis - child	7.3%	126	126	$6K
D1208	Topical application of fluoride, excluding varnish	6.8%	364	364	$5K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	2.9%	20	12	$2K
D0210	Intraoral - complete series of radiographic images	1.3%	16	16	$963.50
D0220	Intraoral - periapical first radiographic image	<1%	58	54	$693.50
D0230	Intraoral - periapical each additional radiographic image	<1%	43	43	$555.20
D0330	Panoramic radiographic image	<1%	14	14	$347.20

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.