Lutz, Elliot

Lutz, Elliot was paid $218K by Medicaid between Jul 2020 and Sep 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.

33Billing provider infoLUTZ, ELLIOT
FRESH MEADOWS, NY 11365

33aNPI1376942292assigned 08/15/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$218K

24GClaims8,645

24DCodes billed19

24AFirst – last monthJul 2020 – Sep 2024

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#583 of 2,184

Median peer was paid$54K

This provider vs. median4.1×

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
2020	3,293	$92K
2023	2,407	$57K
2024incomplete	2,945	$69K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1120	Dental cleaning, childProphylaxis - child	19%	1,487	1,487	$40K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	18%	730	499	$39K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	13%	1,576	1,576	$29K
D2930	Prefabricated stainless steel crown - primary tooth	12%	342	266	$25K
D0272	Bitewings - two radiographic images	7.7%	1,570	1,570	$17K
D1206	Topical application of fluoride varnish	7.4%	805	805	$16K
D2391	Resin-based composite - one surface, posterior, primary or permanent	5.8%	371	322	$13K
D1110	Prophylaxis - adult	4.8%	295	295	$11K
D3220	Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction	3.9%	147	125	$9K
D7140	Extraction, erupted tooth or exposed root	2.3%	176	137	$5K
D0140	Limited oral evaluation - problem focused	2.0%	504	499	$4K
D0150	Comprehensive oral evaluation - new or established patient	1.4%	156	156	$3K

7 more codes

D9920		<1%	100	$2K
D0240		<1%	67	$1K
D1351	Sealant - per tooth	<1%	34	$1K
D0274	Bitewings - four radiographic images	<1%	54	$933.80
D0220	Intraoral - periapical first radiographic image	<1%	97	$929.60
D1320		<1%	121	$834.00
D0230	Intraoral - periapical each additional radiographic image	<1%	13	$63.70

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.