Westchester Elite Dental P.C.

Westchester Elite Dental P.C. was paid $57K by Medicaid between Jan 2018 and Oct 2021, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.

33Billing provider infoWESTCHESTER ELITE DENTAL P.C.
YONKERS, NY 10705

33aNPI1104143262assigned 04/29/2010

33bProvider typeDentist

28Total paid$57K

24GClaims2,958

24DCodes billed7

24AFirst – last monthJan 2018 – Oct 2021

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#781 of 1,649

Median peer was paid$49K

This provider vs. median1.2×

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	561	$13K
2019	777	$14K
2020	640	$11K
2021	980	$19K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	34%	449	448	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	23%	591	590	$13K
D0274	Bitewings - four radiographic images	21%	546	546	$12K
D0220	Intraoral - periapical first radiographic image	14%	751	744	$8K
D0230	Intraoral - periapical each additional radiographic image	5.7%	583	583	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	2.2%	15	12	$1K
D1999		0%	23	21	$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 officialGEDEON, SIMON (PRESIDENT)