Dental
Destine, Edly
Destine, Edly was paid $531K by Medicaid between Jan 2019 and Dec 2024, across 17 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoDESTINE, EDLY
MOUNT VERNON, NY 10550
MOUNT VERNON, NY 10550
33aNPI1326387341assigned 02/11/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$531K
24GClaims12,357
24DCodes billed17
24AFirst – last monthJan 2019 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#291 of 2,184
Median peer was paid$54K
This provider vs. median9.9×
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 | 473 | $19K | |
| 2020 | 1,234 | $41K | |
| 2021 | 2,007 | $62K | |
| 2022 | 3,151 | $102K | |
| 2023 | 2,983 | $162K | |
| 2024incomplete | 2,509 | $146K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 2,509 | 2,509 | $106K |
| D2740 | Crown - porcelain/ceramic | 20% | 286 | 170 | $104K |
| D0274 | Bitewings - four radiographic images | 14% | 3,216 | 3,215 | $73K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 639 | 451 | $57K |
| D2954 | 8.9% | 397 | 276 | $47K | |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 7.3% | 1,839 | 1,839 | $39K |
| D0150 | Comprehensive oral evaluation - new or established patient | 5.9% | 1,387 | 1,386 | $31K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | 4.4% | 75 | 55 | $23K |
| D0210 | Intraoral - complete series of radiographic images | 3.1% | 804 | 802 | $17K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 216 | 152 | $15K |
| D1120 | Dental cleaning, childProphylaxis - child | 1.6% | 266 | 265 | $8K |
| D9944 | <1% | 31 | 31 | $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.