Bayberry Dental Office

Bayberry Dental Office was paid $33K by Medicaid between Apr 2021 and Jun 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 59% of everything it billed.

33Billing provider infoBAYBERRY DENTAL OFFICE
LIVERPOOL, NY 13090

33aNPI1548387731assigned 03/23/2007

33bProvider typeDentist

28Total paid$33K

24GClaims898

24DCodes billed7

24AFirst – last monthApr 2021 – Jun 2023

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#924 of 1,649

Median peer was paid$49K

This provider vs. median0.7×

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	220	$8K
2022	367	$14K
2023	311	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	59%	356	356	$19K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	32%	384	384	$10K
D0150	Comprehensive oral evaluation - new or established patient	2.7%	29	29	$870.00
D0274	Bitewings - four radiographic images	2.2%	26	26	$708.76
D1208	Topical application of fluoride, excluding varnish	2.1%	50	50	$700.00
D0272	Bitewings - two radiographic images	1.4%	28	28	$447.44
D0220	Intraoral - periapical first radiographic image	1.0%	25	25	$329.00

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 officialAZIZ, NADIR (OWNER)