Gruffi, Richard

Gruffi, Richard was paid $32K by Medicaid between Jul 2018 and Jul 2024, across 11 billing codes. Its largest line is D0120, dental checkup, returning patient — 30% of everything it billed.

33Billing provider infoGRUFFI, RICHARD
NEWBURGH, NY 12550

33aNPI1093952236assigned 01/09/2009

33bProvider typeGeneral Practice Dentistry

28Total paid$32K

24GClaims1,432

24DCodes billed11

24AFirst – last monthJul 2018 – Jul 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,257 of 2,184

Median peer was paid$54K

This provider vs. median0.6×

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	278	$6K
2019	401	$9K
2020	586	$13K
2021	155	$3K
2024incomplete	12	$258.75

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	30%	416	416	$9K
D1110	Prophylaxis - adult	24%	192	192	$8K
D1120	Dental cleaning, childProphylaxis - child	11%	110	110	$3K
D0220	Intraoral - periapical first radiographic image	9.1%	291	291	$3K
D1208	Topical application of fluoride, excluding varnish	6.9%	190	190	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	6.0%	47	40	$2K
D0274	Bitewings - four radiographic images	6.0%	82	82	$2K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.6%	13	12	$845.25
D0150	Comprehensive oral evaluation - new or established patient	2.6%	37	37	$826.25
D0140	Limited oral evaluation - problem focused	1.6%	41	41	$509.00
D0272	Bitewings - two radiographic images	<1%	13	13	$168.40

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.