Dental
Pine Bush Dental Group
Pine Bush Dental Group was paid $2.26M by Medicaid between Dec 2018 and Dec 2024, across 33 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 23% of everything it billed.
33Billing provider infoPINE BUSH DENTAL GROUP
PINE BUSH, NY 12566
PINE BUSH, NY 12566
33aNPI1588104376assigned 02/28/2017
33bProvider typeGeneral Practice Dentistry
28Total paid$2.26M
24GClaims52,026
24DCodes billed33
24AFirst – last monthDec 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#38 of 2,184
Median peer was paid$54K
This provider vs. median42×
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 | 12 | $360.00 | |
| 2019 | 36 | $2K | |
| 2020 | 666 | $11K | |
| 2021 | 2,789 | $147K | |
| 2022 | 8,257 | $427K | |
| 2023 | 17,935 | $781K | |
| 2024incomplete | 22,331 | $890K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2740 | Crown - porcelain/ceramic | 23% | 919 | 737 | $524K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.7% | 2,486 | 1,741 | $219K |
| D1120 | Dental cleaning, childProphylaxis - child | 9.0% | 4,716 | 4,716 | $202K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.9% | 1,216 | 937 | $155K |
| D1110 | Prophylaxis - adult | 6.5% | 2,682 | 2,682 | $147K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.1% | 4,145 | 4,145 | $114K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.9% | 3,705 | 3,705 | $111K |
| D1351 | Sealant - per tooth | 4.9% | 2,152 | 907 | $111K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.9% | 1,555 | 1,182 | $89K |
| D0220 | Intraoral - periapical first radiographic image | 3.8% | 6,474 | 6,422 | $86K |
| D1206 | Topical application of fluoride varnish | 3.0% | 2,270 | 2,269 | $68K |
| D0210 | Intraoral - complete series of radiographic images | 2.5% | 2,049 | 2,037 | $58K |
21 more codes
| D1208 | Topical application of fluoride, excluding varnish | 2.0% | 3,203 | $45K |
| D0272 | Bitewings - two radiographic images | 1.9% | 2,674 | $43K |
| D2954 | 1.8% | 289 | $42K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 882 | $42K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 1.6% | 1,222 | $37K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 1.6% | 414 | $37K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.4% | 4,248 | $32K |
| D0274 | Bitewings - four radiographic images | <1% | 731 | $20K |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,367 | $19K |
| D0350 | <1% | 1,292 | $17K | |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 26 | $10K |
| D2332 | <1% | 79 | $9K | |
| D0270 | <1% | 457 | $6K | |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | <1% | 44 | $5K |
| D0330 | Panoramic radiographic image | <1% | 100 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 27 | $3K |
| D4342 | <1% | 47 | $2K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 48 | $1K |
| D2330 | <1% | 15 | $817.80 | |
| D1354 | <1% | 30 | $450.00 | |
| D1999 | 0% | 462 | $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.
From NPPES
Who's on the registration
Authorized officialFABER, MARC (OWNER/DDS)
| Provider | Location | Paid |
|---|---|---|
| Monroe Dental Group, LLC | Monroe, NY | $3.38M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.