ST Hill, Wayne

ST Hill, Wayne was paid $14K by Medicaid between Aug 2023 and Dec 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 50% of everything it billed.

33Billing provider infoST HILL, WAYNE
STONE RIDGE, NY 12484

33aNPI1417967530assigned 08/09/2006

33bProvider typeDentist

28Total paid$14K

24GClaims586

24DCodes billed7

24AFirst – last monthAug 2023 – Dec 2024

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,106 of 1,649

Median peer was paid$49K

This provider vs. median0.3×

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
2023	173	$4K
2024incomplete	413	$10K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	50%	129	129	$7K
D0274	Bitewings - four radiographic images	24%	123	123	$3K
D0220	Intraoral - periapical first radiographic image	12%	126	125	$2K
D0230	Intraoral - periapical each additional radiographic image	5.4%	112	111	$743.54
D9991		5.1%	71	71	$710.00
D0150	Comprehensive oral evaluation - new or established patient	2.7%	13	13	$370.00
D0210	Intraoral - complete series of radiographic images	<1%	12	12	$117.50

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.