Pericak, Stephen

Pericak, Stephen was paid $556K by Medicaid between Jan 2018 and Dec 2023, across 18 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 26% of everything it billed.

33Billing provider infoPERICAK, STEPHEN
SILVER CREEK, NY 14136

33aNPI1609099126assigned 04/11/2007

33bProvider typeDentist

28Total paid$556K

24GClaims12,221

24DCodes billed18

24AFirst – last monthJan 2018 – Dec 2023

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#182 of 1,649

Median peer was paid$49K

This provider vs. median11×

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	1,644	$72K
2019	2,531	$110K
2020	3,176	$159K
2021	2,640	$111K
2022	1,145	$54K
2023	1,085	$50K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	26%	1,776	1,311	$146K
D1110	Prophylaxis - adult	24%	2,656	2,634	$135K
D2391	Resin-based composite - one surface, posterior, primary or permanent	9.6%	912	651	$53K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	9.3%	2,013	1,991	$52K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	8.7%	510	402	$49K
D0330	Panoramic radiographic image	5.4%	955	948	$30K
D0274	Bitewings - four radiographic images	4.2%	896	891	$23K
D1120	Dental cleaning, childProphylaxis - child	3.4%	459	457	$19K
D0150	Comprehensive oral evaluation - new or established patient	2.3%	451	447	$13K
D0140	Limited oral evaluation - problem focused	1.6%	726	706	$9K
D7140	Extraction, erupted tooth or exposed root	1.3%	109	50	$7K
D1208	Topical application of fluoride, excluding varnish	<1%	358	358	$5K

6 more codes

D2332		<1%	36	$4K
D2331		<1%	44	$3K
D2330		<1%	40	$3K
D0220	Intraoral - periapical first radiographic image	<1%	204	$2K
D0210	Intraoral - complete series of radiographic images	<1%	64	$1K
D2394		<1%	12	$1K

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.