Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

University Dental Faculty Practice Group

University Dental Faculty Practice Group was paid $627K by Medicaid between Mar 2018 and Dec 2024, across 18 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 56% of everything it billed.

33Billing provider infoUNIVERSITY DENTAL FACULTY PRACTICE GROUP
ROCHESTER, NY 14618
33aNPI1306929013assigned 10/24/2006
28Total paid$627K
24GClaims7,544
24DCodes billed18
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers

Next to other Oral and Maxillofacial Surgery (Dentist) providers in New York

Rank by total paid#49 of 221
Median peer was paid$109K
This provider vs. median5.8×

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

$0$50K$100K$150K2018201920202021202220232024
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
YearClaimsPaid
201826$2K
2019127$9K
202041$4K
2021122$16K
202212$2K
202312$319.00
2024incomplete7,204$594K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2930 Prefabricated stainless steel crown - primary tooth 56% 2,957 469 $349K
D7140 Extraction, erupted tooth or exposed root 17% 845 240 $107K
D9420 8.1% 598 598 $51K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction 4.7% 340 131 $30K
D1120 Dental cleaning, childProphylaxis - child 3.3% 565 565 $20K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 3.0% 736 736 $19K
D0272 Bitewings - two radiographic images 1.6% 502 502 $10K
D1206 Topical application of fluoride varnish 1.5% 355 355 $10K
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 1.4% 127 127 $9K
99204 Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 1.2% 51 51 $7K
99203 Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity 1.0% 67 67 $6K
D9310 <1% 64 64 $4K
6 more codes
D1351 Sealant - per tooth <1% 71 $3K
D0220 Intraoral - periapical first radiographic image <1% 126 $2K
D0230 Intraoral - periapical each additional radiographic image <1% 57 $730.30
D1208 Topical application of fluoride, excluding varnish <1% 51 $645.00
D0240 <1% 20 $272.00
D9995 0% 12 $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.

From NPPES

Who's on the registration

Authorized officialLEVY, DAVID (MEDICAL DIRECTOR)
Same official

Other billing entities under LEVY, DAVID

Full network →
ProviderLocationPaid
Eisenhower Healthcare, LLCPasadena, CA$7K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.