Dental
Tenniswood, Casey
Tenniswood, Casey was paid $51K by Medicaid between Aug 2018 and May 2023, across 10 billing codes. Its largest line is D1120, dental cleaning, child — 45% of everything it billed.
33Billing provider infoTENNISWOOD, CASEY
CLIFTON PARK, NY 12065
CLIFTON PARK, NY 12065
33aNPI1164653630assigned 08/01/2009
33bProvider typeDentist
28Total paid$51K
24GClaims2,334
24DCodes billed10
24AFirst – last monthAug 2018 – May 2023
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#811 of 1,649
Median peer was paid$49K
This provider vs. median1.0×
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 | 119 | $4K | |
| 2019 | 732 | $23K | |
| 2020 | 735 | $13K | |
| 2021 | 736 | $11K | |
| 2023 | 12 | $493.48 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 45% | 537 | 537 | $23K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 515 | 515 | $14K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 310 | 310 | $4K |
| D1206 | Topical application of fluoride varnish | 8.3% | 144 | 144 | $4K |
| D1110 | Prophylaxis - adult | 3.7% | 40 | 40 | $2K |
| D0272 | Bitewings - two radiographic images | 2.9% | 83 | 83 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.5% | 43 | 43 | $1K |
| D1999 | 0% | 220 | 214 | $0.00 | |
| D1330 | 0% | 251 | 251 | $0.00 | |
| D0603 | 0% | 191 | 191 | $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.