Artemis Dental PC

Artemis Dental PC was paid $505K by Medicaid between Jan 2018 and Feb 2024, across 16 billing codes. Its largest line is D1110, Prophylaxis - adult — 23% of everything it billed.

33Billing provider infoARTEMIS DENTAL PC
FAR ROCKAWAY, NY 11691

33aNPI1689126054assigned 11/01/2016

33bProvider typeDental Clinic/Center

28Total paid$505K

24GClaims22,296

24DCodes billed16

24AFirst – last monthJan 2018 – Feb 2024

Compared with peers

Next to other Dental Clinic/Center providers in New York

Rank by total paid#44 of 188

Median peer was paid$113K

This provider vs. median4.5×

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	2,736	$79K
2019	4,327	$101K
2020	3,197	$76K
2021	4,747	$101K
2022	3,492	$70K
2023	3,512	$72K
2024incomplete	285	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	23%	3,488	3,487	$116K
D0210	Intraoral - complete series of radiographic images	11%	4,253	4,233	$56K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	10%	2,687	2,687	$53K
D0274	Bitewings - four radiographic images	10%	2,758	2,758	$52K
D0230	Intraoral - periapical each additional radiographic image	9.6%	2,989	2,989	$48K
D0150	Comprehensive oral evaluation - new or established patient	8.5%	2,172	2,172	$43K
D2392	Resin-based composite - two surfaces, posterior, primary or permanent	6.6%	334	297	$34K
D1120	Dental cleaning, childProphylaxis - child	5.8%	989	989	$29K
D2393	Resin-based composite - three surfaces, posterior, primary or permanent	5.6%	257	219	$28K
D1208	Topical application of fluoride, excluding varnish	4.2%	1,827	1,827	$21K
D2332		2.5%	140	130	$13K
D2160		1.5%	75	66	$7K

4 more codes

D0220	Intraoral - periapical first radiographic image	<1%	226	$2K
D2331		<1%	15	$2K
D2150	Silver amalgam - two surfaces, primary or permanent	<1%	13	$868.72
D0140	Limited oral evaluation - problem focused	<1%	73	$511.22

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 officialWALTROUS, KEVIN (PRESIDENT)