Dental
Dewundara, Amanda
Dewundara, Amanda was paid $591K by Medicaid between Feb 2019 and Mar 2022, across 17 billing codes. Its largest line is D1351, Sealant - per tooth — 19% of everything it billed.
33Billing provider infoDEWUNDARA, AMANDA
NEW ROCHELLE, NY 10801
NEW ROCHELLE, NY 10801
33aNPI1396194478assigned 06/08/2016
33bProvider typePediatric Dentist
28Total paid$591K
24GClaims20,652
24DCodes billed17
24AFirst – last monthFeb 2019 – Mar 2022
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#153 of 514
Median peer was paid$196K
This provider vs. median3.0×
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 | 5,112 | $143K | |
| 2020 | 5,198 | $138K | |
| 2021 | 9,914 | $297K | |
| 2022 | 428 | $12K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1351 | Sealant - per tooth | 19% | 2,853 | 750 | $115K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 3,901 | 3,901 | $101K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 2,715 | 2,715 | $99K |
| D1110 | Prophylaxis - adult | 9.3% | 1,174 | 1,174 | $55K |
| D1208 | Topical application of fluoride, excluding varnish | 8.9% | 3,876 | 3,876 | $52K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 7.5% | 567 | 361 | $44K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 2,338 | 2,337 | $37K |
| D0272 | Bitewings - two radiographic images | 4.9% | 1,854 | 1,854 | $29K |
| D7140 | Extraction, erupted tooth or exposed root | 4.6% | 475 | 302 | $27K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.7% | 214 | 149 | $10K |
| D0274 | Bitewings - four radiographic images | <1% | 185 | 185 | $5K |
| D0330 | Panoramic radiographic image | <1% | 127 | 127 | $5K |
5 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 40 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 220 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 33 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 16 | $2K |
| D1999 | 0% | 64 | $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.