Dental
SKK Dental PLLC Dba Liberty Dental Arts
SKK Dental PLLC Dba Liberty Dental Arts was paid $510K by Medicaid between Jun 2021 and Nov 2023, across 19 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 21% of everything it billed.
33Billing provider infoSKK DENTAL PLLC DBA LIBERTY DENTAL ARTS
ROCHESTER, NY 14626
ROCHESTER, NY 14626
33aNPI1497295679assigned 03/07/2017
33bProvider typeDentist
28Total paid$510K
24GClaims11,996
24DCodes billed19
24AFirst – last monthJun 2021 – Nov 2023
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#206 of 1,649
Median peer was paid$49K
This provider vs. median10×
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 | |
|---|---|---|---|
| 2021 | 1,908 | $88K | |
| 2022 | 5,616 | $244K | |
| 2023 | 4,472 | $178K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 21% | 1,467 | 828 | $108K |
| D1110 | Prophylaxis - adult | 21% | 2,115 | 2,114 | $107K |
| D0330 | Panoramic radiographic image | 12% | 1,353 | 1,353 | $63K |
| D0274 | Bitewings - four radiographic images | 8.1% | 1,392 | 1,392 | $41K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.0% | 1,326 | 1,326 | $36K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.8% | 745 | 460 | $35K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.9% | 327 | 241 | $30K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.2% | 1,042 | 1,041 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 504 | 504 | $19K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 122 | 41 | $10K |
| D1206 | Topical application of fluoride varnish | 1.6% | 317 | 317 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | 1.4% | 520 | 520 | $7K |
7 more codes
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 65 | $5K |
| D0272 | Bitewings - two radiographic images | <1% | 208 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 213 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 208 | $2K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 35 | $2K |
| D2331 | <1% | 19 | $2K | |
| D2140 | <1% | 18 | $916.92 |
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 officialKHALIL, SAMIR (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Vivant Medical Care PC | Ridgefield, NJ | $25K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.