Dental
Silver Lake Dental PLLC
Silver Lake Dental PLLC was paid $846K by Medicaid between Jan 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoSILVER LAKE DENTAL PLLC
PERRY, NY 14530
PERRY, NY 14530
33aNPI1518265172assigned 03/07/2011
33bProvider typeGeneral Practice Dentistry
28Total paid$846K
24GClaims19,788
24DCodes billed10
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#177 of 2,184
Median peer was paid$54K
This provider vs. median16×
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 | 1,669 | $72K | |
| 2019 | 2,329 | $98K | |
| 2020 | 2,818 | $109K | |
| 2021 | 3,231 | $136K | |
| 2022 | 3,630 | $163K | |
| 2023 | 3,407 | $152K | |
| 2024incomplete | 2,704 | $115K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 4,592 | 4,587 | $316K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 6,187 | 6,182 | $214K |
| D1120 | Dental cleaning, childProphylaxis - child | 14% | 2,320 | 2,320 | $117K |
| D0274 | Bitewings - four radiographic images | 12% | 2,777 | 2,774 | $102K |
| D1208 | Topical application of fluoride, excluding varnish | 7.5% | 3,152 | 3,152 | $64K |
| D0330 | Panoramic radiographic image | 2.5% | 409 | 409 | $21K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 70 | 66 | $8K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 59 | 51 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 13 | 13 | $215.00 |
| D1999 | 0% | 209 | 198 | $0.00 |
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 officialDERUYTER, TIMOTHY (MEMBER)