Hersey, Elizabeth

Hersey, Elizabeth was paid $8K by Medicaid between Jun 2020 and Aug 2020, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.

33Billing provider infoHERSEY, ELIZABETH
AUBURN, NY 13021

33aNPI1376904516assigned 03/16/2016

33bProvider typeDentist

28Total paid$8K

24GClaims287

24DCodes billed6

24AFirst – last monthJun 2020 – Aug 2020

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,203 of 1,649

Median peer was paid$49K

This provider vs. median0.2×

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
2020	287	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	40%	71	71	$3K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	69	69	$2K
D0274	Bitewings - four radiographic images	15%	51	51	$1K
D2391	Resin-based composite - one surface, posterior, primary or permanent	9.9%	16	12	$800.00
D0230	Intraoral - periapical each additional radiographic image	8.0%	65	65	$647.00
D0150	Comprehensive oral evaluation - new or established patient	5.6%	15	15	$450.00

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.