Clinic
Western New York Medical Practice, P.C.
Western New York Medical Practice, P.C. was paid $81K by Medicaid between Jun 2023 and Nov 2024, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoWESTERN NEW YORK MEDICAL PRACTICE, P.C.
PENFIELD, NY 14526
PENFIELD, NY 14526
33aNPI1134815301assigned 04/12/2023
33bProvider typeDental Clinic/Center
28Total paid$81K
24GClaims1,569
24DCodes billed8
24AFirst – last monthJun 2023 – Nov 2024
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#105 of 188
Median peer was paid$113K
This provider vs. median0.7×
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 | |
|---|---|---|---|
| 2023 | 445 | $18K | |
| 2024incomplete | 1,124 | $63K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 539 | 539 | $33K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 33% | 320 | 245 | $27K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 524 | 524 | $16K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.3% | 43 | 30 | $3K |
| D0274 | Bitewings - four radiographic images | 3.3% | 81 | 81 | $3K |
| D1206 | Topical application of fluoride varnish | <1% | 12 | 12 | $342.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 25 | 25 | $324.90 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 25 | 25 | $292.60 |
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 officialHOLDER, NICHOLE (DIRECTOR - PAYER ENROLLMENT)
Parent organizationWESTERN NEW YORK MEDICAL PRACTICE, P.C.
| Provider | Location | Paid |
|---|---|---|
| Western New York Medical Practice P.C | Pittsford, NY | $1.05M |
| Western New York Medical Practice, P.C. | Rochester, NY | $49K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.