Brightwater Dental Care PC

Brightwater Dental Care PC was paid $18K by Medicaid between Oct 2019 and Apr 2021, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 52% of everything it billed.

33Billing provider infoBRIGHTWATER DENTAL CARE PC
BAY SHORE, NY 11706

33aNPI1447658844assigned 12/17/2014

33bProvider typeGeneral Practice Dentistry

28Total paid$18K

24GClaims549

24DCodes billed7

24AFirst – last monthOct 2019 – Apr 2021

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,417 of 2,184

Median peer was paid$54K

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
2019	69	$2K
2020	425	$14K
2021	55	$2K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	52%	224	220	$10K
D0210	Intraoral - complete series of radiographic images	25%	122	118	$5K
D0150	Comprehensive oral evaluation - new or established patient	18%	142	139	$3K
D0274	Bitewings - four radiographic images	1.9%	15	15	$340.38
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	1.7%	14	14	$316.23
D0220	Intraoral - periapical first radiographic image	<1%	17	17	$182.49
D0230	Intraoral - periapical each additional radiographic image	<1%	15	15	$163.06

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 officialATTALLA, ALBERT (VP PRESIDENT)