Dental
Sithole, Wilson
Sithole, Wilson was paid $176K by Medicaid between Jan 2018 and Apr 2021, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoSITHOLE, WILSON
NORTH SYRACUSE, NY 13212
NORTH SYRACUSE, NY 13212
33aNPI1215925557assigned 10/11/2005
33bProvider typeGeneral Practice Dentistry
28Total paid$176K
24GClaims5,740
24DCodes billed14
24AFirst – last monthJan 2018 – Apr 2021
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#654 of 2,184
Median peer was paid$54K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2018 | 2,290 | $72K | |
| 2019 | 1,979 | $64K | |
| 2020 | 1,278 | $34K | |
| 2021 | 193 | $6K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 1,341 | 1,340 | $63K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 1,542 | 1,541 | $37K |
| D0274 | Bitewings - four radiographic images | 15% | 950 | 948 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 10% | 468 | 468 | $18K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 610 | 610 | $8K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.9% | 181 | 180 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.5% | 60 | 46 | $4K |
| D0272 | Bitewings - two radiographic images | 2.2% | 220 | 220 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 66 | 51 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 63 | 62 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 27 | 13 | $1K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 14 | 13 | $1K |
2 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.