Dental
White Plains Dental Care, PLLC
White Plains Dental Care, PLLC was paid $96K by Medicaid between Jan 2018 and Sep 2020, across 8 billing codes. Its largest line is D1110, Prophylaxis - adult — 45% of everything it billed.
33Billing provider infoWHITE PLAINS DENTAL CARE, PLLC
WHITE PLAINS, NY 10601
WHITE PLAINS, NY 10601
33aNPI1629410253assigned 07/24/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$96K
24GClaims3,848
24DCodes billed8
24AFirst – last monthJan 2018 – Sep 2020
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#888 of 2,184
Median peer was paid$54K
This provider vs. median1.8×
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 | 1,150 | $34K | |
| 2019 | 1,655 | $40K | |
| 2020 | 1,043 | $22K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 45% | 901 | 899 | $43K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 18% | 733 | 732 | $18K |
| D0274 | Bitewings - four radiographic images | 16% | 640 | 640 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 8.6% | 703 | 702 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.7% | 639 | 637 | $7K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.0% | 125 | 125 | $3K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 31 | 31 | $1K |
| D1999 | 0% | 76 | 74 | $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 officialSHAMUELOV, ROMAN (PRESIDENT)