Dental
Pediatric Dentistry of Suffolk County
Pediatric Dentistry of Suffolk County was paid $2.25M by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 24% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF SUFFOLK COUNTY
COMMACK, NY 11725
COMMACK, NY 11725
33aNPI1407118540assigned 06/14/2012
33bProvider typeDentist
28Total paid$2.25M
24GClaims81,326
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#41 of 1,649
Median peer was paid$49K
This provider vs. median46×
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 | 1,806 | $40K | |
| 2019 | 3,108 | $74K | |
| 2020 | 6,308 | $177K | |
| 2021 | 10,597 | $316K | |
| 2022 | 16,931 | $482K | |
| 2023 | 19,616 | $540K | |
| 2024incomplete | 22,960 | $622K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 24% | 13,039 | 13,034 | $529K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 13,567 | 13,564 | $369K |
| D1351 | Sealant - per tooth | 11% | 4,264 | 1,902 | $241K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.5% | 2,583 | 1,735 | $213K |
| D1206 | Topical application of fluoride varnish | 8.8% | 7,253 | 7,237 | $197K |
| D1110 | Prophylaxis - adult | 5.7% | 2,386 | 2,386 | $128K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 9,574 | 9,532 | $122K |
| D1208 | Topical application of fluoride, excluding varnish | 4.9% | 8,223 | 8,220 | $110K |
| D0272 | Bitewings - two radiographic images | 4.8% | 6,854 | 6,851 | $109K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.8% | 8,171 | 8,161 | $62K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 1,733 | 1,731 | $48K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 639 | 495 | $29K |
11 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.1% | 1,193 | $24K |
| D0274 | Bitewings - four radiographic images | <1% | 684 | $18K |
| D0330 | Panoramic radiographic image | <1% | 480 | $18K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 113 | $13K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 58 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 78 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 17 | $2K |
| D9990 | <1% | 97 | $2K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 159 | $2K |
| D0240 | <1% | 132 | $2K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 29 | $430.12 |
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 officialIOANNOU, MICHAEL (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry of Nassau County PLLC | Garden City, NY | $957K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.