Dental
Commack Pediatric Dentistry, P.C.
Commack Pediatric Dentistry, P.C. was paid $14K by Medicaid between Jul 2022 and Oct 2024, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 48% of everything it billed.
33Billing provider infoCOMMACK PEDIATRIC DENTISTRY, P.C.
COMMACK, NY 11725
COMMACK, NY 11725
33aNPI1609536390assigned 12/22/2021
33bProvider typePediatric Dentist
28Total paid$14K
24GClaims617
24DCodes billed6
24AFirst – last monthJul 2022 – Oct 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#423 of 514
Median peer was paid$196K
This provider vs. median0.1×
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 | |
|---|---|---|---|
| 2022 | 412 | $9K | |
| 2023 | 137 | $3K | |
| 2024incomplete | 68 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 48% | 192 | 192 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 28% | 162 | 162 | $4K |
| D1208 | Topical application of fluoride, excluding varnish | 15% | 181 | 181 | $2K |
| D1206 | Topical application of fluoride varnish | 4.4% | 25 | 25 | $619.58 |
| D0220 | Intraoral - periapical first radiographic image | 3.7% | 44 | 44 | $522.16 |
| D0272 | Bitewings - two radiographic images | 1.2% | 13 | 13 | $171.75 |
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 officialSTERN, ROD (PEDIATRIC DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Shining Smiles Pediatric Dentistry, P.C. | Manhasset, NY | $253K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.