Dental
Pediatric Dentistry & Interceptive Orthodontics P.C.
Pediatric Dentistry & Interceptive Orthodontics P.C. was paid $32.95M by Medicaid between Jan 2018 and Nov 2024, across 36 billing codes. Its largest line is D2930, Prefabricated stainless steel crown - primary tooth — 21% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY & INTERCEPTIVE ORTHODONTICS P.C.
FAYETTEVILLE, NY 13066
FAYETTEVILLE, NY 13066
33aNPI1346300209assigned 12/11/2006
33bProvider typePediatric Dentist
28Total paid$32.95M
24GClaims343,938
24DCodes billed36
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#3 of 514
Median peer was paid$196K
This provider vs. median168×
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 | 12,301 | $1.46M | |
| 2019 | 18,142 | $1.49M | |
| 2020 | 31,882 | $2.93M | |
| 2021 | 54,014 | $6.20M | |
| 2022 | 59,041 | $6.78M | |
| 2023 | 76,058 | $6.80M | |
| 2024incomplete | 92,500 | $7.27M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2930 | Prefabricated stainless steel crown - primary tooth | 21% | 16,565 | 7,102 | $7.03M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 17% | 18,456 | 11,216 | $5.47M |
| D1120 | Dental cleaning, childProphylaxis - child | 7.3% | 42,674 | 42,658 | $2.42M |
| D7140 | Extraction, erupted tooth or exposed root | 6.1% | 11,221 | 7,695 | $2.01M |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 5.4% | 7,978 | 4,923 | $1.77M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 42,904 | 42,894 | $1.71M |
| D1510 | 3.6% | 3,342 | 2,751 | $1.19M | |
| D2335 | 3.6% | 3,633 | 2,304 | $1.18M | |
| D1351 | Sealant - per tooth | 3.1% | 12,993 | 7,930 | $1.04M |
| D2330 | 2.9% | 4,888 | 2,694 | $969K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.4% | 4,569 | 3,108 | $804K |
| D1208 | Topical application of fluoride, excluding varnish | 2.4% | 33,556 | 33,548 | $786K |
24 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.4% | 2,779 | $779K |
| D0272 | Bitewings - two radiographic images | 2.1% | 23,271 | $684K |
| D9420 | 2.0% | 3,172 | $651K | |
| D1206 | Topical application of fluoride varnish | 1.8% | 14,965 | $609K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.8% | 11,858 | $588K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 24,815 | $517K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 18,222 | $500K |
| D1110 | Prophylaxis - adult | 1.4% | 5,977 | $448K |
| D2390 | 1.2% | 502 | $391K | |
| D0274 | Bitewings - four radiographic images | 1.0% | 7,137 | $332K |
| D0330 | Panoramic radiographic image | <1% | 4,319 | $296K |
| D7961 | <1% | 587 | $248K | |
| D1354 | <1% | 3,443 | $96K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 8,052 | $87K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 10,490 | $84K |
| D7962 | <1% | 180 | $83K | |
| D7960 | <1% | 106 | $57K | |
| D9310 | <1% | 378 | $46K | |
| D3230 | <1% | 78 | $32K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 411 | $17K |
| D2394 | <1% | 44 | $14K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 192 | $5K |
| D0160 | <1% | 25 | $3K | |
| D1999 | 0% | 156 | $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 officialROBISON, EDWARD (TREASURER)