Dental
Liberty Family Dental, PC
Liberty Family Dental, PC was paid $403K by Medicaid between Jun 2024 and Dec 2024, across 24 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoLIBERTY FAMILY DENTAL, PC
POUGHKEEPSIE, NY 12603
POUGHKEEPSIE, NY 12603
33aNPI1255196119assigned 02/19/2024
33bProvider typeDentist
28Total paid$403K
24GClaims13,390
24DCodes billed24
24AFirst – last monthJun 2024 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#255 of 1,649
Median peer was paid$49K
This provider vs. median8.2×
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 | |
|---|---|---|---|
| 2024incomplete | 13,390 | $403K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 1,572 | 1,572 | $70K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,804 | 1,804 | $53K |
| D1110 | Prophylaxis - adult | 9.4% | 650 | 650 | $38K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.5% | 418 | 245 | $34K |
| D1351 | Sealant - per tooth | 7.7% | 722 | 219 | $31K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.7% | 1,830 | 1,828 | $27K |
| D1206 | Topical application of fluoride varnish | 5.5% | 715 | 715 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 5.3% | 1,473 | 1,473 | $21K |
| D0220 | Intraoral - periapical first radiographic image | 5.1% | 1,428 | 1,426 | $21K |
| D0272 | Bitewings - two radiographic images | 5.0% | 1,147 | 1,147 | $20K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.9% | 131 | 103 | $16K |
| D0274 | Bitewings - four radiographic images | 3.2% | 434 | 434 | $13K |
12 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 2.9% | 318 | $12K |
| D7140 | Extraction, erupted tooth or exposed root | 1.6% | 135 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.5% | 217 | $6K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 123 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 34 | $3K |
| D9310 | <1% | 21 | $2K | |
| D0330 | Panoramic radiographic image | <1% | 30 | $1K |
| D0270 | <1% | 56 | $792.96 | |
| D0273 | <1% | 30 | $594.28 | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 44 | $532.40 |
| D0140 | Limited oral evaluation - problem focused | <1% | 36 | $510.30 |
| D0240 | <1% | 22 | $436.10 |
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 officialLUGO, RAMON (FOUNDER)