S T Dental Service PC

S T Dental Service PC was paid $16K by Medicaid between Apr 2018 and Nov 2024, across 5 billing codes. Its largest line is D1110, Prophylaxis - adult — 49% of everything it billed.

33Billing provider infoS T DENTAL SERVICE PC
FAR ROCKAWAY, NY 11691

33aNPI1679534119assigned 03/31/2006

33bProvider typeDentist

28Total paid$16K

24GClaims639

24DCodes billed5

24AFirst – last monthApr 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#1,074 of 1,649

Median peer was paid$49K

This provider vs. median0.3×

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	12	$278.40
2019	63	$1K
2020	12	$239.70
2021	25	$423.30
2022	108	$3K
2023	149	$4K
2024incomplete	270	$8K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	49%	200	200	$8K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	44%	367	367	$7K
D0274	Bitewings - four radiographic images	5.7%	46	46	$939.32
D0230	Intraoral - periapical each additional radiographic image	<1%	13	13	$123.25
D0220	Intraoral - periapical first radiographic image	<1%	13	13	$118.32

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 officialTERENTIEVA, SVETLANA (PRESIDENT)