Dental
Elmwood Village Dental PC
Elmwood Village Dental PC was paid $307K by Medicaid between Jul 2022 and Dec 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoELMWOOD VILLAGE DENTAL PC
BUFFALO, NY 14222
BUFFALO, NY 14222
33aNPI1659032639assigned 01/03/2022
33bProvider typeGeneral Practice Dentistry
28Total paid$307K
24GClaims8,139
24DCodes billed16
24AFirst – last monthJul 2022 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#457 of 2,184
Median peer was paid$54K
This provider vs. median5.7×
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 | |
|---|---|---|---|
| 2022 | 986 | $47K | |
| 2023 | 4,044 | $143K | |
| 2024incomplete | 3,109 | $116K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 1,830 | 1,830 | $108K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 16% | 1,663 | 1,663 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 12% | 386 | 233 | $38K |
| D0274 | Bitewings - four radiographic images | 9.1% | 1,111 | 1,111 | $28K |
| D0330 | Panoramic radiographic image | 5.9% | 446 | 446 | $18K |
| D0150 | Comprehensive oral evaluation - new or established patient | 4.3% | 424 | 424 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.5% | 892 | 884 | $11K |
| D2740 | Crown - porcelain/ceramic | 3.2% | 13 | 12 | $10K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.9% | 77 | 56 | $9K |
| D7140 | Extraction, erupted tooth or exposed root | 2.1% | 103 | 51 | $7K |
| D0140 | Limited oral evaluation - problem focused | 1.5% | 324 | 319 | $5K |
| D0210 | Intraoral - complete series of radiographic images | 1.3% | 210 | 209 | $4K |
4 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.2% | 38 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.2% | 588 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 21 | $1K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 13 | $210.93 |
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 officialDAMICO, DEBORAH (CREDENTIALING LIAISON)
| Provider | Location | Paid |
|---|---|---|
| Good Neighbors Dental Group PLLC | Kenmore, NY | $285K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.