Dental
Gloversville Family Dentistry,llp
Gloversville Family Dentistry,llp was paid $102K by Medicaid between Jan 2018 and Dec 2021, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 46% of everything it billed.
33Billing provider infoGLOVERSVILLE FAMILY DENTISTRY,LLP
GLOVERSVILLE, NY 12078
GLOVERSVILLE, NY 12078
33aNPI1114025707assigned 09/20/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$102K
24GClaims2,438
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2021
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#870 of 2,184
Median peer was paid$54K
This provider vs. median1.9×
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 | 614 | $27K | |
| 2019 | 432 | $19K | |
| 2020 | 594 | $20K | |
| 2021 | 798 | $36K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 46% | 714 | 714 | $47K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 33% | 1,029 | 1,029 | $34K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.5% | 55 | 52 | $7K |
| D0274 | Bitewings - four radiographic images | 5.7% | 177 | 177 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 133 | 133 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 53 | 53 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.5% | 33 | 33 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.1% | 13 | 13 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 1.0% | 35 | 35 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 40 | 39 | $644.00 |
| D0330 | Panoramic radiographic image | <1% | 12 | 12 | $414.00 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $215.05 |
1 more codes
| D1999 | 0% | 132 | $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 officialLEVINE, ANDREW (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kletter & Levine PC | Saratoga Springs, NY | $722K |
| Andrew Levine MD PA | Mcallen, TX | $584K |
| Falfurrias Medical Group LLP | Falfurrias, TX | $342K |
| Greenwhich Family Dentistry | Greenwich, NY | $23K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.