Dental
Brewerton Family Dentistry
Brewerton Family Dentistry was paid $171K by Medicaid between Jan 2018 and Nov 2024, across 16 billing codes. Its largest line is D0274, Bitewings - four radiographic images — 25% of everything it billed.
33Billing provider infoBREWERTON FAMILY DENTISTRY
BREWERTON, NY 13029
BREWERTON, NY 13029
33aNPI1164553079assigned 03/09/2007
33bProvider typeDentist
28Total paid$171K
24GClaims5,782
24DCodes billed16
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#468 of 1,649
Median peer was paid$49K
This provider vs. median3.5×
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 | 1,504 | $47K | |
| 2019 | 616 | $20K | |
| 2020 | 537 | $20K | |
| 2021 | 339 | $9K | |
| 2022 | 341 | $8K | |
| 2023 | 1,081 | $32K | |
| 2024incomplete | 1,364 | $35K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0274 | Bitewings - four radiographic images | 25% | 1,531 | 1,522 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,570 | 1,567 | $42K |
| D1110 | Prophylaxis - adult | 20% | 625 | 624 | $35K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.5% | 303 | 303 | $13K |
| D9310 | 5.3% | 132 | 131 | $9K | |
| D0220 | Intraoral - periapical first radiographic image | 3.2% | 402 | 398 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 366 | 366 | $5K |
| D0330 | Panoramic radiographic image | 2.8% | 137 | 137 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.3% | 302 | 302 | $4K |
| D0210 | Intraoral - complete series of radiographic images | 2.1% | 160 | 153 | $4K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 54 | 54 | $2K |
| D0340 | <1% | 47 | 47 | $2K |
4 more codes
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 officialNOSEGBE, IMADEH (OWNER)