Dental
Family Dental Office PC
Family Dental Office PC was paid $281K by Medicaid between Jul 2021 and Dec 2024, across 14 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoFAMILY DENTAL OFFICE PC
STONY POINT, NY 10980
STONY POINT, NY 10980
33aNPI1548418650assigned 09/03/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$281K
24GClaims10,425
24DCodes billed14
24AFirst – last monthJul 2021 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#495 of 2,184
Median peer was paid$54K
This provider vs. median5.2×
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 | 2,066 | $54K | |
| 2022 | 3,553 | $92K | |
| 2023 | 2,943 | $84K | |
| 2024incomplete | 1,863 | $52K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 1,983 | 1,982 | $85K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 2,316 | 2,316 | $55K |
| D0274 | Bitewings - four radiographic images | 12% | 1,356 | 1,355 | $33K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.4% | 1,993 | 1,989 | $26K |
| D0210 | Intraoral - complete series of radiographic images | 6.8% | 411 | 411 | $19K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.7% | 192 | 160 | $13K |
| D1206 | Topical application of fluoride varnish | 4.5% | 457 | 457 | $13K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.2% | 274 | 207 | $12K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.7% | 308 | 308 | $10K |
| D1208 | Topical application of fluoride, excluding varnish | 2.9% | 657 | 657 | $8K |
| D0272 | Bitewings - two radiographic images | 1.3% | 258 | 258 | $4K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 194 | 192 | $2K |
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 officialBELLO, IRMA (DENTIST)