Dental
Pediatric Dentistry of Suffolk County II
Pediatric Dentistry of Suffolk County II was paid $1.48M by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 28% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF SUFFOLK COUNTY II
MEDFORD, NY 11763
MEDFORD, NY 11763
33aNPI1245527381assigned 07/08/2011
33bProvider typePediatric Dentist
28Total paid$1.48M
24GClaims54,866
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#80 of 514
Median peer was paid$196K
This provider vs. median7.6×
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 | 3,267 | $71K | |
| 2019 | 4,752 | $112K | |
| 2020 | 7,228 | $202K | |
| 2021 | 8,362 | $244K | |
| 2022 | 7,922 | $210K | |
| 2023 | 11,275 | $309K | |
| 2024incomplete | 12,060 | $332K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 28% | 10,009 | 10,009 | $421K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 10,469 | 10,465 | $297K |
| D1206 | Topical application of fluoride varnish | 8.9% | 4,636 | 4,635 | $132K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.7% | 1,093 | 782 | $99K |
| D0272 | Bitewings - two radiographic images | 6.5% | 5,839 | 5,839 | $96K |
| D1351 | Sealant - per tooth | 6.1% | 1,120 | 681 | $91K |
| D0220 | Intraoral - periapical first radiographic image | 6.0% | 6,660 | 6,647 | $89K |
| D1208 | Topical application of fluoride, excluding varnish | 5.8% | 6,137 | 6,135 | $85K |
| D1110 | Prophylaxis - adult | 4.0% | 1,045 | 1,045 | $59K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 5,600 | 5,598 | $43K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.6% | 400 | 314 | $23K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.4% | 735 | 735 | $21K |
7 more codes
| D0330 | Panoramic radiographic image | <1% | 264 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 478 | $10K |
| D0274 | Bitewings - four radiographic images | <1% | 36 | $1K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 12 | $720.00 |
| D0140 | Limited oral evaluation - problem focused | <1% | 28 | $378.00 |
| D1999 | 0% | 290 | $0.00 | |
| D9996 | 0% | 15 | $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.
From NPPES
Who's on the registration
Authorized officialIOANNOU, CHRISTOS (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| DR. Chris' Small Smiles Pediatric Dentistry | Stony Brook, NY | $337K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.