Dentistry Unlimited of ST. James PLLC

Dentistry Unlimited of ST. James PLLC was paid $36K by Medicaid between Mar 2019 and Jul 2023, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 56% of everything it billed.

33Billing provider infoDENTISTRY UNLIMITED OF ST. JAMES PLLC
SAINT JAMES, NY 11780

33aNPI1699168757assigned 03/13/2015

33bProvider typeDental Clinic/Center

28Total paid$36K

24GClaims1,547

24DCodes billed6

24AFirst – last monthMar 2019 – Jul 2023

Compared with peers

Next to other Dental Clinic/Center providers in New York

Rank by total paid#127 of 188

Median peer was paid$113K

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
2019	103	$3K
2020	485	$10K
2021	417	$11K
2022	324	$8K
2023	218	$6K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	56%	498	498	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	24%	421	421	$9K
D0274	Bitewings - four radiographic images	8.1%	143	143	$3K
D0220	Intraoral - periapical first radiographic image	7.8%	287	282	$3K
D0230	Intraoral - periapical each additional radiographic image	4.0%	159	154	$1K
D1999		0%	39	37	$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 officialLAGUARDIA, GERALD (MEMBER)