Dental
New Baltimore Family Dentistry, LLP
New Baltimore Family Dentistry, LLP was paid $681K by Medicaid between Jan 2018 and Nov 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoNEW BALTIMORE FAMILY DENTISTRY, LLP
WEST COXSACKIE, NY 12192
WEST COXSACKIE, NY 12192
33aNPI1174944243assigned 12/17/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$681K
24GClaims18,382
24DCodes billed18
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#227 of 2,184
Median peer was paid$54K
This provider vs. median13×
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 | 3,711 | $140K | |
| 2019 | 5,437 | $207K | |
| 2020 | 5,660 | $209K | |
| 2021 | 2,569 | $81K | |
| 2022 | 796 | $29K | |
| 2023 | 182 | $13K | |
| 2024incomplete | 27 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 3,847 | 3,845 | $201K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 13% | 981 | 729 | $89K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,317 | 3,316 | $87K |
| D0210 | Intraoral - complete series of radiographic images | 9.1% | 1,308 | 1,303 | $62K |
| D0274 | Bitewings - four radiographic images | 6.6% | 1,600 | 1,600 | $45K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 1,016 | 1,016 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.7% | 991 | 990 | $32K |
| D1208 | Topical application of fluoride, excluding varnish | 3.9% | 1,744 | 1,744 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 424 | 311 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.5% | 1,698 | 1,693 | $17K |
| D7140 | Extraction, erupted tooth or exposed root | 2.3% | 249 | 150 | $16K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 130 | 99 | $13K |
6 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.5% | 757 | $10K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 69 | $7K |
| D0330 | Panoramic radiographic image | <1% | 147 | $6K |
| D2330 | <1% | 16 | $812.60 | |
| D0272 | Bitewings - two radiographic images | <1% | 46 | $768.74 |
| D0140 | Limited oral evaluation - problem focused | <1% | 42 | $607.00 |
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 officialPLASS, LISA (OFFICE MANAGER)