Dental
Advanced Dental Technologies Cor
Advanced Dental Technologies Cor was paid $396.00 by Medicaid between Sep 2020 and Sep 2020, across 1 billing code. Its largest line is D1110, Prophylaxis - adult — 100% of everything it billed.
33Billing provider infoADVANCED DENTAL TECHNOLOGIES COR
OCEANSIDE, NY 11572
OCEANSIDE, NY 11572
33aNPI1679968408assigned 03/30/2015
33bProvider typeGeneral Practice Dentistry
28Total paid$396.00
24GClaims12
24DCodes billed1
24AFirst – last monthSep 2020 – Sep 2020
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#2,091 of 2,184
Median peer was paid$54K
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 | |
|---|---|---|---|
| 2020 | 12 | $396.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 100% | 12 | 12 | $396.00 |
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 officialPETERSON, JOHN (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Mecklenburg Emergency Medical Services Agency | Charlotte, NC | $33.68M |
| Peterson Dental PC | Oceanside, NY | $17K |
| Foot & Ankle Specialists of Idaho, P.C. | Idaho Falls, ID | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.