Dental
Foley, Michael
Foley, Michael was paid $442K by Medicaid between Jul 2018 and Nov 2024, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 38% of everything it billed.
33Billing provider infoFOLEY, MICHAEL
ORCHARD PARK, NY 14127
ORCHARD PARK, NY 14127
33aNPI1568499614assigned 06/26/2006
33bProvider typePediatric Dentist
28Total paid$442K
24GClaims15,249
24DCodes billed19
24AFirst – last monthJul 2018 – Nov 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#182 of 514
Median peer was paid$196K
This provider vs. median2.3×
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 | 187 | $5K | |
| 2019 | 2,691 | $75K | |
| 2020 | 4,592 | $136K | |
| 2021 | 3,208 | $93K | |
| 2022 | 3,755 | $108K | |
| 2023 | 243 | $7K | |
| 2024incomplete | 573 | $17K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 38% | 4,165 | 4,164 | $167K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 3,396 | 3,395 | $90K |
| D1206 | Topical application of fluoride varnish | 10% | 1,679 | 1,679 | $44K |
| D1208 | Topical application of fluoride, excluding varnish | 6.2% | 2,090 | 2,089 | $27K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 385 | 210 | $22K |
| D0272 | Bitewings - two radiographic images | 4.7% | 1,318 | 1,317 | $21K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.6% | 743 | 743 | $20K |
| D1351 | Sealant - per tooth | 4.4% | 507 | 139 | $20K |
| D1110 | Prophylaxis - adult | 3.1% | 262 | 261 | $14K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.4% | 141 | 83 | $6K |
| D0330 | Panoramic radiographic image | <1% | 90 | 90 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 62 | 39 | $3K |
7 more codes
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 33 | $3K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 19 | $570.27 |
| D0140 | Limited oral evaluation - problem focused | <1% | 18 | $212.80 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 286 | $192.00 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 12 | $133.00 |
| D1330 | 0% | 12 | $0.00 | |
| D1310 | 0% | 31 | $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.