Dental
Sepanik, Paula
Sepanik, Paula was paid $761K by Medicaid between Jan 2018 and Nov 2019, across 20 billing codes. Its largest line is D9999, Unspecified adjunctive procedure, by report — 99% of everything it billed.
33Billing provider infoSEPANIK, PAULA
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
33aNPI1225178668assigned 02/07/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$761K
24GClaims16,779
24DCodes billed20
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#204 of 2,184
Median peer was paid$54K
This provider vs. median14×
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 | 8,478 | $381K | |
| 2019 | 8,301 | $379K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9999 | Unspecified adjunctive procedure, by report | 99% | 5,671 | 4,296 | $752K |
| D1110 | Prophylaxis - adult | <1% | 1,658 | 1,658 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 626 | 503 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | <1% | 2,098 | 2,098 | $1K |
| D0330 | Panoramic radiographic image | <1% | 770 | 770 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 492 | 492 | $566.00 |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 44 | 41 | $506.00 |
| D0274 | Bitewings - four radiographic images | <1% | 936 | 936 | $505.00 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 488 | 376 | $270.00 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 505 | 505 | $258.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 479 | 477 | $224.00 |
| D4910 | <1% | 119 | 119 | $206.00 |
8 more codes
| D0220 | Intraoral - periapical first radiographic image | <1% | 548 | $177.00 |
| D0272 | Bitewings - two radiographic images | <1% | 280 | $96.00 |
| D1206 | Topical application of fluoride varnish | <1% | 151 | $90.00 |
| D2330 | <1% | 34 | $58.00 | |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 359 | $14.00 |
| D0603 | 0% | 673 | $0.00 | |
| D0601 | 0% | 264 | $0.00 | |
| D0602 | 0% | 584 | $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.