Dental
Cheltenham, Richard
Cheltenham, Richard was paid $265K by Medicaid between Jan 2018 and Dec 2024, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 31% of everything it billed.
33Billing provider infoCHELTENHAM, RICHARD
NEW HARTFORD, NY 13413
NEW HARTFORD, NY 13413
33aNPI1386774230assigned 03/07/2007
33bProvider typeDentist
28Total paid$265K
24GClaims7,275
24DCodes billed11
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#361 of 1,649
Median peer was paid$49K
This provider vs. median5.4×
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 | 1,182 | $39K | |
| 2019 | 1,492 | $52K | |
| 2020 | 2,612 | $97K | |
| 2021 | 1,468 | $55K | |
| 2022 | 12 | $435.00 | |
| 2023 | 141 | $5K | |
| 2024incomplete | 368 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 31% | 1,092 | 1,092 | $83K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 1,860 | 1,860 | $72K |
| D0274 | Bitewings - four radiographic images | 15% | 814 | 814 | $39K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 888 | 888 | $27K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.2% | 292 | 292 | $16K |
| D0272 | Bitewings - two radiographic images | 3.6% | 331 | 331 | $9K |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 449 | 449 | $9K |
| D0330 | Panoramic radiographic image | 2.5% | 134 | 134 | $7K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 16 | 15 | $2K |
| D1206 | Topical application of fluoride varnish | <1% | 28 | 28 | $1K |
| D1330 | 0% | 1,371 | 1,371 | $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.