Dental
Webster Pediatric Dentistry, PLLC
Webster Pediatric Dentistry, PLLC was paid $44K by Medicaid between Feb 2024 and Oct 2024, across 9 billing codes. Its largest line is D1120, dental cleaning, child — 26% of everything it billed.
33Billing provider infoWEBSTER PEDIATRIC DENTISTRY, PLLC
WEBSTER, NY 14580
WEBSTER, NY 14580
33aNPI1649553637assigned 09/26/2011
33bProvider typeDentist
28Total paid$44K
24GClaims1,356
24DCodes billed9
24AFirst – last monthFeb 2024 – Oct 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#857 of 1,649
Median peer was paid$49K
This provider vs. median0.9×
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 | |
|---|---|---|---|
| 2024incomplete | 1,356 | $44K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 295 | 295 | $12K |
| D1206 | Topical application of fluoride varnish | 25% | 390 | 390 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 396 | 396 | $11K |
| D1110 | Prophylaxis - adult | 9.2% | 77 | 77 | $4K |
| D1351 | Sealant - per tooth | 4.5% | 53 | 13 | $2K |
| D1354 | 4.3% | 51 | 14 | $2K | |
| D0272 | Bitewings - two radiographic images | 2.6% | 55 | 55 | $1K |
| D0330 | Panoramic radiographic image | 2.1% | 18 | 18 | $926.25 |
| D0274 | Bitewings - four radiographic images | 1.7% | 21 | 21 | $753.35 |
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 officialSKOLNICK, JAY (OWNER)