Dental
Washington Family Dental P.C.
Washington Family Dental P.C. was paid $15K by Medicaid between Oct 2018 and Feb 2022, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 42% of everything it billed.
33Billing provider infoWASHINGTON FAMILY DENTAL P.C.
ENDICOTT, NY 13760
ENDICOTT, NY 13760
33aNPI1255540878assigned 05/21/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$15K
24GClaims405
24DCodes billed7
24AFirst – last monthOct 2018 – Feb 2022
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,481 of 2,184
Median peer was paid$54K
This provider vs. median0.3×
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 | 13 | $377.00 | |
| 2021 | 348 | $13K | |
| 2022 | 44 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 42% | 115 | 115 | $6K |
| D0274 | Bitewings - four radiographic images | 41% | 188 | 188 | $6K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.6% | 37 | 37 | $988.90 |
| D0330 | Panoramic radiographic image | 3.0% | 12 | 12 | $448.40 |
| D0220 | Intraoral - periapical first radiographic image | 2.7% | 27 | 24 | $401.26 |
| D9110 | 2.6% | 14 | 14 | $384.82 | |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.3% | 12 | 12 | $346.50 |
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 officialRAMOS, GUILLERMO (PRESIDENT)