Destefano, Thomas

Destefano, Thomas was paid $6K by Medicaid between Aug 2019 and Jul 2020, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.

33Billing provider infoDESTEFANO, THOMAS
PITTSFORD, NY 14534

33aNPI1306860648assigned 07/27/2006

33bProvider typeGeneral Practice Dentistry

28Total paid$6K

24GClaims233

24DCodes billed5

24AFirst – last monthAug 2019 – Jul 2020

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,664 of 2,184

Median peer was paid$54K

This provider vs. median0.1×

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
2019	69	$2K
2020	164	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	74	74	$2K
D1110	Prophylaxis - adult	21%	26	26	$1K
D1120	Dental cleaning, childProphylaxis - child	21%	33	33	$1K
D1208	Topical application of fluoride, excluding varnish	19%	87	87	$1K
D0274	Bitewings - four radiographic images	7.4%	13	13	$481.65

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.