Dental
Suffolk Pediatric Dentistry PC
Suffolk Pediatric Dentistry PC was paid $15.54M by Medicaid between Jan 2018 and Dec 2024, across 32 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoSUFFOLK PEDIATRIC DENTISTRY PC
PORT JEFFERSON STATION, NY 11776
PORT JEFFERSON STATION, NY 11776
33aNPI1609915883assigned 02/05/2007
33bProvider typePediatric Dentist
28Total paid$15.54M
24GClaims358,811
24DCodes billed32
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#6 of 514
Median peer was paid$196K
This provider vs. median79×
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 | 23,328 | $1.13M | |
| 2019 | 20,647 | $895K | |
| 2020 | 31,996 | $1.43M | |
| 2021 | 49,265 | $2.32M | |
| 2022 | 66,676 | $2.90M | |
| 2023 | 81,570 | $3.45M | |
| 2024incomplete | 85,329 | $3.42M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 60,356 | 60,356 | $2.65M |
| D1208 | Topical application of fluoride, excluding varnish | 13% | 76,841 | 76,841 | $2.03M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 68,160 | 68,159 | $1.92M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 7.7% | 6,884 | 5,286 | $1.20M |
| D1351 | Sealant - per tooth | 6.7% | 17,232 | 7,931 | $1.05M |
| D7140 | Extraction, erupted tooth or exposed root | 6.0% | 9,546 | 7,260 | $940K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 5.9% | 8,255 | 6,654 | $912K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.6% | 6,410 | 5,302 | $865K |
| D1110 | Prophylaxis - adult | 5.0% | 16,984 | 16,984 | $777K |
| D8670 | Periodic orthodontic treatment visit | 3.6% | 3,929 | 3,697 | $555K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 3.4% | 4,157 | 3,438 | $526K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.9% | 4,306 | 3,839 | $447K |
20 more codes
| D0272 | Bitewings - two radiographic images | 2.1% | 20,170 | $326K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.1% | 8,471 | $325K |
| D0274 | Bitewings - four radiographic images | 1.9% | 11,737 | $288K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 11,968 | $146K |
| D0330 | Panoramic radiographic image | <1% | 3,374 | $143K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 5,051 | $108K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 6,371 | $72K |
| D9110 | <1% | 1,851 | $65K | |
| D0340 | <1% | 1,424 | $61K | |
| D0470 | <1% | 1,301 | $35K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 1,073 | $28K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 209 | $28K |
| D2140 | <1% | 294 | $27K | |
| D0350 | <1% | 1,336 | $15K | |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 768 | $8K |
| D2160 | <1% | 54 | $6K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 97 | $3K |
| D0601 | <1% | 172 | $142.00 | |
| D0602 | <1% | 14 | $8.00 | |
| D1999 | 0% | 16 | $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 officialSERINO, ROBERT (PRESIDENT)