Dental
Aqua Dental PC
Aqua Dental PC was paid $114K by Medicaid between Jul 2020 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoAQUA DENTAL PC
WATERTOWN, NY 13601
WATERTOWN, NY 13601
33aNPI1073785556assigned 03/25/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$114K
24GClaims3,445
24DCodes billed11
24AFirst – last monthJul 2020 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#822 of 2,184
Median peer was paid$54K
This provider vs. median2.1×
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 | |
|---|---|---|---|
| 2020 | 88 | $3K | |
| 2021 | 506 | $17K | |
| 2022 | 762 | $27K | |
| 2023 | 880 | $29K | |
| 2024incomplete | 1,209 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 797 | 797 | $43K |
| D0150 | Comprehensive oral evaluation - new or established patient | 14% | 553 | 553 | $16K |
| D0210 | Intraoral - complete series of radiographic images | 11% | 306 | 305 | $12K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 10% | 440 | 440 | $12K |
| D0274 | Bitewings - four radiographic images | 6.9% | 270 | 270 | $8K |
| D0220 | Intraoral - periapical first radiographic image | 6.9% | 584 | 582 | $8K |
| D0330 | Panoramic radiographic image | 6.3% | 180 | 180 | $7K |
| D2332 | 3.2% | 36 | 12 | $4K | |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 199 | 198 | $2K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 28 | 12 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 52 | 52 | $730.00 |
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 officialKHATOON, RUBINA (OWNER)