Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Family Dentistry of Lyons, P.C

Family Dentistry of Lyons, P.C was paid $373K by Medicaid between Jul 2019 and Aug 2023, across 15 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.

33Billing provider infoFAMILY DENTISTRY OF LYONS, P.C
LYONS, NY 14489
33aNPI1417372269assigned 03/03/2014
33bProvider typeDentist
28Total paid$373K
24GClaims8,722
24DCodes billed15
24AFirst – last monthJul 2019 – Aug 2023
Compared with peers

Next to other Dentist providers in New York

Rank by total paid#275 of 1,649
Median peer was paid$49K
This provider vs. median7.6×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
201947$2K
202051$2K
20211,674$69K
20224,006$168K
20232,944$132K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1110 Prophylaxis - adult 21% 1,469 1,469 $78K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 21% 942 533 $77K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 9.4% 1,302 1,301 $35K
D0274 Bitewings - four radiographic images 7.9% 834 833 $29K
D0330 Panoramic radiographic image 7.3% 612 612 $27K
D1120 Dental cleaning, childProphylaxis - child 7.2% 660 660 $27K
D0150 Comprehensive oral evaluation - new or established patient 6.0% 790 790 $22K
D2391 Resin-based composite - one surface, posterior, primary or permanent 6.0% 418 243 $22K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 4.5% 171 125 $17K
D1208 Topical application of fluoride, excluding varnish 4.0% 1,070 1,070 $15K
D7140 Extraction, erupted tooth or exposed root 2.8% 189 86 $10K
D0210 Intraoral - complete series of radiographic images 2.4% 131 131 $9K
3 more codes
D2332 <1% 17 $2K
D0272 Bitewings - two radiographic images <1% 59 $1K
D0220 Intraoral - periapical first radiographic image <1% 58 $707.80

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 officialPUDDICOMBE, EMMANUEL (DENTIST/OWNER)