Dental
Surace, Louis
Surace, Louis was paid $256K by Medicaid between Jan 2018 and Jan 2019, across 17 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.
33Billing provider infoSURACE, LOUIS
LOCKPORT, NY 14094
LOCKPORT, NY 14094
33aNPI1295792414assigned 05/01/2006
33bProvider typePediatric Dentist
28Total paid$256K
24GClaims6,993
24DCodes billed17
24AFirst – last monthJan 2018 – Jan 2019
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#232 of 514
Median peer was paid$196K
This provider vs. median1.3×
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 | 6,919 | $254K | |
| 2019 | 74 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 22% | 1,326 | 1,325 | $55K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 19% | 420 | 341 | $50K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 1,511 | 1,511 | $43K |
| D1208 | Topical application of fluoride, excluding varnish | 8.6% | 1,616 | 1,615 | $22K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.9% | 249 | 207 | $18K |
| D1110 | Prophylaxis - adult | 6.2% | 289 | 289 | $16K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.4% | 79 | 67 | $14K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 4.7% | 88 | 75 | $12K |
| D0330 | Panoramic radiographic image | 3.2% | 220 | 220 | $8K |
| D1351 | Sealant - per tooth | 3.1% | 121 | 104 | $8K |
| D0272 | Bitewings - two radiographic images | 2.6% | 403 | 403 | $7K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 42 | 38 | $3K |
5 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.