Dental
Winning Smiles Pediatric Dentistry
Winning Smiles Pediatric Dentistry was paid $1.48M by Medicaid between Mar 2018 and Dec 2024, across 22 billing codes. Its largest line is D1120, dental cleaning, child — 33% of everything it billed.
33Billing provider infoWINNING SMILES PEDIATRIC DENTISTRY
AMHERST, NY 14226
AMHERST, NY 14226
33aNPI1619200847assigned 09/04/2009
33bProvider typePediatric Dentist
28Total paid$1.48M
24GClaims46,122
24DCodes billed22
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#81 of 514
Median peer was paid$196K
This provider vs. median7.6×
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 | 627 | $18K | |
| 2019 | 2,166 | $64K | |
| 2020 | 3,061 | $93K | |
| 2021 | 3,318 | $95K | |
| 2022 | 5,558 | $173K | |
| 2023 | 16,405 | $545K | |
| 2024incomplete | 14,987 | $489K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 33% | 11,763 | 11,763 | $489K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 8,968 | 8,968 | $242K |
| D1206 | Topical application of fluoride varnish | 14% | 8,174 | 8,174 | $200K |
| D0272 | Bitewings - two radiographic images | 4.7% | 4,336 | 4,336 | $69K |
| D1110 | Prophylaxis - adult | 4.6% | 1,285 | 1,285 | $69K |
| D1351 | Sealant - per tooth | 4.6% | 1,502 | 556 | $68K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.5% | 907 | 646 | $67K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.2% | 2,128 | 2,128 | $62K |
| D7140 | Extraction, erupted tooth or exposed root | 3.1% | 868 | 563 | $46K |
| D1208 | Topical application of fluoride, excluding varnish | 2.7% | 2,871 | 2,871 | $39K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 2.4% | 317 | 184 | $36K |
| D0330 | Panoramic radiographic image | 1.9% | 791 | 791 | $28K |
10 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.5% | 424 | $22K |
| D0274 | Bitewings - four radiographic images | <1% | 371 | $10K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 473 | $8K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 80 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 444 | $6K |
| D7962 | <1% | 24 | $5K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 300 | $4K |
| D1354 | <1% | 55 | $720.00 | |
| D0240 | <1% | 24 | $369.92 | |
| D1999 | 0% | 17 | $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 officialFOLEY, MICHAEL (OWNER/DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Children's Respiratory & Critical Care Specialists. P.A. | Minneapolis, MN | $7.53M |
| Madison Emergency Physicians, SC | Madison, WI | $3.26M |
| The Healing Center | Edgewood, MD | $50K |
| Michael G Foley MD PA | Crestview, FL | $2K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.