Clinic
Pediatric Dentistry of Long Island
Pediatric Dentistry of Long Island was paid $351K by Medicaid between Jan 2018 and Jan 2022, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 30% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF LONG ISLAND
MEDFORD, NY 11763
MEDFORD, NY 11763
33aNPI1629469499assigned 02/13/2015
33bProvider typeDental Clinic/Center
28Total paid$351K
24GClaims14,630
24DCodes billed16
24AFirst – last monthJan 2018 – Jan 2022
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#59 of 188
Median peer was paid$113K
This provider vs. median3.1×
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 | |
|---|---|---|---|
| 2018 | 2,132 | $48K | |
| 2019 | 3,006 | $64K | |
| 2020 | 4,232 | $102K | |
| 2021 | 4,950 | $127K | |
| 2022 | 310 | $10K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 30% | 3,522 | 3,522 | $106K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 3,962 | 3,961 | $83K |
| D1206 | Topical application of fluoride varnish | 11% | 1,785 | 1,785 | $40K |
| D1110 | Prophylaxis - adult | 9.8% | 822 | 821 | $34K |
| D1208 | Topical application of fluoride, excluding varnish | 8.8% | 2,590 | 2,588 | $31K |
| D1351 | Sealant - per tooth | 5.3% | 246 | 121 | $19K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 3.8% | 136 | 125 | $13K |
| D0272 | Bitewings - two radiographic images | 2.6% | 730 | 730 | $9K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 280 | 280 | $5K |
| D7140 | Extraction, erupted tooth or exposed root | 1.2% | 90 | 79 | $4K |
| D0274 | Bitewings - four radiographic images | <1% | 147 | 147 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 83 | 82 | $874.55 |
4 more codes
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 13 | $774.56 |
| D0330 | Panoramic radiographic image | <1% | 27 | $729.12 |
| D0220 | Intraoral - periapical first radiographic image | <1% | 37 | $385.17 |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 0% | 160 | $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 officialGOLDSTEIN, SCOTT (CEO)