Chilmark Dental PC

Chilmark Dental PC was paid $2K by Medicaid between Dec 2019 and Jun 2020, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 71% of everything it billed.

33Billing provider infoCHILMARK DENTAL PC
OSSINING, NY 10562

33aNPI1669462750assigned 10/28/2005

33bProvider typeDentist

28Total paid$2K

24GClaims78

24DCodes billed3

24AFirst – last monthDec 2019 – Jun 2020

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,429 of 1,649

Median peer was paid$49K

This provider vs. median0.0×

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
2019	32	$1K
2020	46	$867.60

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	71%	32	32	$1K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	29%	26	26	$563.94
D1999		0%	20	15	$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 officialLOBEL, ETTA (DENTIST)