Dental
Fayetteville Dental Associates
Fayetteville Dental Associates was paid $245K by Medicaid between Jan 2018 and Aug 2023, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 40% of everything it billed.
33Billing provider infoFAYETTEVILLE DENTAL ASSOCIATES
FAYETTEVILLE, NY 13066
FAYETTEVILLE, NY 13066
33aNPI1427336866assigned 08/03/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$245K
24GClaims6,350
24DCodes billed16
24AFirst – last monthJan 2018 – Aug 2023
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#543 of 2,184
Median peer was paid$54K
This provider vs. median4.6×
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
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 | 998 | $38K | |
| 2019 | 1,174 | $47K | |
| 2020 | 891 | $37K | |
| 2021 | 2,005 | $75K | |
| 2022 | 591 | $22K | |
| 2023 | 691 | $25K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 40% | 1,708 | 1,707 | $98K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 19% | 1,600 | 1,600 | $46K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.1% | 187 | 163 | $22K |
| D0210 | Intraoral - complete series of radiographic images | 7.5% | 478 | 465 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 6.7% | 557 | 557 | $16K |
| D0274 | Bitewings - four radiographic images | 5.7% | 483 | 483 | $14K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 226 | 226 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 2.8% | 524 | 484 | $7K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.0% | 43 | 39 | $5K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 251 | 251 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 103 | 101 | $1K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 13 | 12 | $935.00 |
4 more codes
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 officialJANOWSKI, JENNIFER (OFFICE MANAGER)