Sullivan, Alyssa
Sullivan, Alyssa was paid $5K by Medicaid between Sep 2023 and Mar 2024, across 5 billing codes. Its largest line is D1120, dental cleaning, child — 57% of everything it billed.
33Billing provider infoSULLIVAN, ALYSSA
BROCKPORT, NY 14420
BROCKPORT, NY 14420
33aNPI1699238691assigned 04/08/2019
33bProvider typeStudent in an Organized Health Care Education/Training Program
28Total paid$5K
24GClaims170
24DCodes billed5
24AFirst – last monthSep 2023 – Mar 2024
Compared with peers
Next to other Student in an Organized Health Care Education/Training Program providers in New York
Rank by total paid#882 of 2,013
Median peer was paid$4K
This provider vs. median1.4×
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 | |
|---|---|---|---|
| 2023 | 118 | $4K | |
| 2024incomplete | 52 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 57% | 83 | 83 | $3K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 31 | 31 | $769.95 |
| D1206 | Topical application of fluoride varnish | 15% | 29 | 29 | $769.50 |
| D0150 | Comprehensive oral evaluation - new or established patient | 8.7% | 15 | 15 | $435.25 |
| D1208 | Topical application of fluoride, excluding varnish | 3.4% | 12 | 12 | $170.50 |
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.