Rome Family Dental Service P.C.

Rome Family Dental Service P.C. was paid $14K by Medicaid between Jan 2018 and Nov 2018, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 39% of everything it billed.

33Billing provider infoROME FAMILY DENTAL SERVICE P.C.
ROME, NY 13440

33aNPI1114080041assigned 12/19/2006

33bProvider typeDentist

28Total paid$14K

24GClaims446

24DCodes billed8

24AFirst – last monthJan 2018 – Nov 2018

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,102 of 1,649

Median peer was paid$49K

This provider vs. median0.3×

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	446	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	39%	99	99	$6K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	19%	98	98	$3K
D0330	Panoramic radiographic image	15%	71	71	$2K
D1120	Dental cleaning, childProphylaxis - child	9.6%	32	32	$1K
D0140	Limited oral evaluation - problem focused	5.5%	61	61	$784.00
D0274	Bitewings - four radiographic images	5.5%	27	27	$783.00
D0220	Intraoral - periapical first radiographic image	3.1%	33	32	$448.00
D1208	Topical application of fluoride, excluding varnish	2.4%	25	25	$350.00

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 officialBALLINI, ALBINO (PRESIDENT)