Dental
Bright White Dental, PLLC
Bright White Dental, PLLC was paid $102K by Medicaid between Jan 2018 and Dec 2024, across 12 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoBRIGHT WHITE DENTAL, PLLC
FRESH MEADOWS, NY 11366
FRESH MEADOWS, NY 11366
33aNPI1568611937assigned 09/10/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$102K
24GClaims5,465
24DCodes billed12
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#865 of 2,184
Median peer was paid$54K
This provider vs. median1.9×
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 | 2,339 | $41K | |
| 2019 | 1,234 | $21K | |
| 2020 | 729 | $14K | |
| 2021 | 94 | $2K | |
| 2023 | 77 | $1K | |
| 2024incomplete | 992 | $23K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 1,052 | 1,048 | $37K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 1,047 | 1,045 | $20K |
| D0210 | Intraoral - complete series of radiographic images | 13% | 539 | 531 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 9.9% | 1,091 | 1,084 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 8.2% | 944 | 940 | $8K |
| D0274 | Bitewings - four radiographic images | 4.9% | 261 | 260 | $5K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.4% | 158 | 158 | $3K |
| D0140 | Limited oral evaluation - problem focused | 1.9% | 225 | 221 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.8% | 34 | 25 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 72 | 72 | $775.80 |
| D1120 | Dental cleaning, childProphylaxis - child | <1% | 13 | 13 | $393.51 |
| D0272 | Bitewings - two radiographic images | <1% | 29 | 29 | $314.75 |
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 officialRAFAILOV, SALAMON (DENTIST)