Dental
Pediatric Dentistry of Nassau County PLLC
Pediatric Dentistry of Nassau County PLLC was paid $957K by Medicaid between Aug 2018 and Dec 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF NASSAU COUNTY PLLC
GARDEN CITY, NY 11530
GARDEN CITY, NY 11530
33aNPI1477064178assigned 10/20/2017
33bProvider typePediatric Dentist
28Total paid$957K
24GClaims42,273
24DCodes billed19
24AFirst – last monthAug 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#113 of 514
Median peer was paid$196K
This provider vs. median4.9×
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 | 36 | $803.40 | |
| 2019 | 1,475 | $29K | |
| 2020 | 4,605 | $98K | |
| 2021 | 6,946 | $154K | |
| 2022 | 8,063 | $187K | |
| 2023 | 8,498 | $192K | |
| 2024incomplete | 12,650 | $298K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 7,708 | 7,706 | $279K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 17% | 6,927 | 6,926 | $160K |
| D1206 | Topical application of fluoride varnish | 11% | 4,607 | 4,602 | $103K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.9% | 1,309 | 870 | $95K |
| D0272 | Bitewings - two radiographic images | 5.7% | 4,096 | 4,095 | $54K |
| D0220 | Intraoral - periapical first radiographic image | 5.5% | 5,461 | 5,449 | $53K |
| D1351 | Sealant - per tooth | 5.1% | 1,199 | 470 | $49K |
| D1208 | Topical application of fluoride, excluding varnish | 4.4% | 3,437 | 3,437 | $42K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 1,289 | 1,289 | $32K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.1% | 4,579 | 4,575 | $30K |
| D1110 | Prophylaxis - adult | 2.4% | 509 | 509 | $23K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 276 | 218 | $13K |
7 more codes
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 467 | $8K |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 58 | $6K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 121 | $6K |
| D0274 | Bitewings - four radiographic images | <1% | 93 | $2K |
| D0330 | Panoramic radiographic image | <1% | 54 | $2K |
| D0140 | Limited oral evaluation - problem focused | <1% | 54 | $629.68 |
| D0240 | <1% | 29 | $388.02 |
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 (DENTIST/OWNER)
| Provider | Location | Paid |
|---|---|---|
| Pediatric Dentistry of Suffolk County | Commack, NY | $2.25M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.