Clinic
Rondout Valley Family Dentistry
Rondout Valley Family Dentistry was paid $58K by Medicaid between Nov 2019 and Jul 2023, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 48% of everything it billed.
33Billing provider infoRONDOUT VALLEY FAMILY DENTISTRY
STONE RIDGE, NY 12484
STONE RIDGE, NY 12484
33aNPI1548540800assigned 08/18/2011
33bProvider typeDental Clinic/Center
28Total paid$58K
24GClaims2,531
24DCodes billed7
24AFirst – last monthNov 2019 – Jul 2023
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#113 of 188
Median peer was paid$113K
This provider vs. median0.5×
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 | |
|---|---|---|---|
| 2019 | 112 | $3K | |
| 2020 | 194 | $4K | |
| 2021 | 843 | $19K | |
| 2022 | 933 | $22K | |
| 2023 | 449 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 48% | 533 | 532 | $28K |
| D0274 | Bitewings - four radiographic images | 22% | 468 | 468 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 13% | 570 | 569 | $7K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.6% | 741 | 720 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 85 | 85 | $2K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 4.1% | 89 | 89 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 45 | 44 | $438.04 |
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 officialST. HILL, WAYNE (PRESIDENT)