John, Lola

John, Lola was paid $32K by Medicaid between Jan 2018 and Jun 2021, across 4 billing codes. Its largest line is D1110, Prophylaxis - adult — 57% of everything it billed.

33Billing provider infoJOHN, LOLA
EAST AMHERST, NY 14051

33aNPI1245544782assigned 07/26/2010

33bProvider typeGeneral Practice Dentistry

28Total paid$32K

24GClaims857

24DCodes billed4

24AFirst – last monthJan 2018 – Jun 2021

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,260 of 2,184

Median peer was paid$54K

This provider vs. median0.6×

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	338	$13K
2019	250	$10K
2020	172	$6K
2021	97	$3K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	57%	329	329	$18K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	37%	429	429	$12K
D0274	Bitewings - four radiographic images	6.8%	83	83	$2K
D1999		0%	16	14	$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.