Falsetti, Phillip

Falsetti, Phillip was paid $112K by Medicaid between Feb 2018 and Jun 2021, across 11 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.

33Billing provider infoFALSETTI, PHILLIP
NIAGARA FALLS, NY 14301

33aNPI1578614129assigned 01/12/2007

33bProvider typeDentist

28Total paid$112K

24GClaims3,179

24DCodes billed11

24AFirst – last monthFeb 2018 – Jun 2021

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#605 of 1,649

Median peer was paid$49K

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	750	$28K
2019	1,477	$54K
2020	824	$26K
2021	128	$5K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	45%	928	928	$50K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	21%	883	883	$24K
D0274	Bitewings - four radiographic images	15%	653	653	$17K
D0330	Panoramic radiographic image	7.5%	250	250	$8K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	7.2%	102	69	$8K
D0150	Comprehensive oral evaluation - new or established patient	2.0%	79	79	$2K
D0220	Intraoral - periapical first radiographic image	<1%	85	84	$1K
D1120	Dental cleaning, childProphylaxis - child	<1%	14	14	$616.80
D1208	Topical application of fluoride, excluding varnish	<1%	45	45	$600.60
D0140	Limited oral evaluation - problem focused	<1%	14	14	$187.60
D1999		0%	126	126	$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.