Donovan, Adam

Donovan, Adam was paid $14K by Medicaid between Sep 2020 and Oct 2020, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 24% of everything it billed.

33Billing provider infoDONOVAN, ADAM
BELLEROSE, NY 11426

33aNPI1205219714assigned 07/01/2015

33bProvider typeGeneral Practice Dentistry

28Total paid$14K

24GClaims337

24DCodes billed10

24AFirst – last monthSep 2020 – Oct 2020

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,496 of 2,184

Median peer was paid$54K

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
2020	337	$14K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	24%	62	62	$3K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18%	25	21	$3K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	12%	16	16	$2K
D2391	Resin-based composite - one surface, posterior, primary or permanent	11%	23	17	$1K
D0274	Bitewings - four radiographic images	10%	53	53	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	7.7%	43	43	$1K
D0330	Panoramic radiographic image	6.9%	42	42	$977.60
D0150	Comprehensive oral evaluation - new or established patient	5.1%	24	24	$720.00
D0210	Intraoral - complete series of radiographic images	3.6%	32	32	$505.72
D0220	Intraoral - periapical first radiographic image	1.6%	17	17	$223.72

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.