Dental
Gruffi, Douglas
Gruffi, Douglas was paid $96K by Medicaid between Jun 2018 and Oct 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoGRUFFI, DOUGLAS
NEW CITY, NY 10956
NEW CITY, NY 10956
33aNPI1225184377assigned 01/25/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$96K
24GClaims3,398
24DCodes billed14
24AFirst – last monthJun 2018 – Oct 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#890 of 2,184
Median peer was paid$54K
This provider vs. median1.8×
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 | 44 | $774.50 | |
| 2019 | 120 | $3K | |
| 2020 | 338 | $9K | |
| 2021 | 615 | $17K | |
| 2022 | 705 | $18K | |
| 2023 | 996 | $30K | |
| 2024incomplete | 580 | $19K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 985 | 983 | $41K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 1,246 | 1,244 | $24K |
| D0274 | Bitewings - four radiographic images | 7.7% | 319 | 318 | $7K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.3% | 96 | 59 | $7K |
| D0210 | Intraoral - complete series of radiographic images | 3.7% | 75 | 75 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 3.7% | 267 | 267 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 81 | 81 | $3K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 2.7% | 36 | 24 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 40 | 27 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 1.4% | 162 | 161 | $1K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 12 | 12 | $319.00 |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 53 | 53 | $254.20 |
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.