Dental
Baker Victory Healthcare Center
Baker Victory Healthcare Center was paid $2.51M by Medicaid between Jan 2018 and Aug 2024, across 31 billing codes. Its largest line is D0120, dental checkup, returning patient — 29% of everything it billed.
33Billing provider infoBAKER VICTORY HEALTHCARE CENTER
LACKAWANNA, NY 14218
LACKAWANNA, NY 14218
33aNPI1619191855assigned 04/12/2007
33bProvider typeDentist
28Total paid$2.51M
24GClaims63,806
24DCodes billed31
24AFirst – last monthJan 2018 – Aug 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#33 of 1,649
Median peer was paid$49K
This provider vs. median51×
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 | 14,156 | $600K | |
| 2019 | 15,394 | $568K | |
| 2020 | 10,132 | $343K | |
| 2021 | 6,776 | $323K | |
| 2022 | 9,101 | $405K | |
| 2023 | 6,578 | $210K | |
| 2024incomplete | 1,669 | $59K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 29% | 23,161 | 13,393 | $723K |
| D1110 | Prophylaxis - adult | 20% | 12,554 | 9,033 | $506K |
| D9999 | Unspecified adjunctive procedure, by report | 17% | 3,154 | 2,898 | $435K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 1,722 | 1,326 | $125K |
| D0274 | Bitewings - four radiographic images | 4.3% | 4,717 | 4,260 | $107K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 3,353 | 2,093 | $105K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.6% | 2,389 | 1,475 | $91K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.7% | 951 | 645 | $67K |
| D1351 | Sealant - per tooth | 1.9% | 1,355 | 287 | $48K |
| D0330 | Panoramic radiographic image | 1.6% | 1,475 | 1,289 | $41K |
| D0140 | Limited oral evaluation - problem focused | 1.6% | 1,647 | 1,273 | $39K |
| D4910 | 1.2% | 514 | 225 | $30K |
19 more codes
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 365 | $29K |
| D1999 | 1.1% | 1,563 | $27K | |
| D2331 | <1% | 250 | $21K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 184 | $19K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,270 | $17K |
| D4341 | <1% | 158 | $13K | |
| D1206 | Topical application of fluoride varnish | <1% | 453 | $12K |
| D2330 | <1% | 149 | $12K | |
| D0602 | <1% | 535 | $9K | |
| D0272 | Bitewings - two radiographic images | <1% | 378 | $8K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 461 | $6K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 212 | $5K |
| D0603 | <1% | 564 | $5K | |
| D2150 | Silver amalgam - two surfaces, primary or permanent | <1% | 24 | $2K |
| D2332 | <1% | 20 | $2K | |
| D0190 | <1% | 97 | $2K | |
| D9995 | <1% | 18 | $295.53 | |
| D9991 | <1% | 14 | $27.00 | |
| D0601 | 0% | 99 | $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 officialSCOFIDIO, TERESE (CHIEF EXECUTIVE OFFICER)