Dossantos, Virginia

Dossantos, Virginia was paid $3K by Medicaid between Oct 2019 and Oct 2023, across 5 billing codes. Its largest line is D0120, dental checkup, returning patient — 46% of everything it billed.

33Billing provider infoDOSSANTOS, VIRGINIA
PORT JEFFERSON STATION, NY 11776

33aNPI1558390930assigned 06/30/2006

33bProvider typeDentist

28Total paid$3K

24GClaims117

24DCodes billed5

24AFirst – last monthOct 2019 – Oct 2023

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,376 of 1,649

Median peer was paid$49K

This provider vs. median0.1×

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	65	$1K
2021	27	$865.73
2022	13	$322.90
2023	12	$314.24

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	46%	55	55	$1K
D1110	Prophylaxis - adult	37%	24	24	$1K
D0274	Bitewings - four radiographic images	9.5%	12	12	$272.12
D0220	Intraoral - periapical first radiographic image	4.6%	12	12	$131.36
D0230	Intraoral - periapical each additional radiographic image	2.7%	14	14	$77.62

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.