Dental
Divita, Carl
Divita, Carl was paid $675K by Medicaid between Jan 2018 and Apr 2024, across 17 billing codes. Its largest line is D9230, Inhalation of nitrous oxide / analgesia, anxiolysis — 25% of everything it billed.
33Billing provider infoDIVITA, CARL
SPENCERPORT, NY 14559
SPENCERPORT, NY 14559
33aNPI1710912274assigned 07/12/2006
33bProvider typePediatric Dentist
28Total paid$675K
24GClaims16,811
24DCodes billed17
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#141 of 514
Median peer was paid$196K
This provider vs. median3.4×
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 | |
|---|---|---|---|
| 2018 | 1,328 | $55K | |
| 2019 | 1,986 | $61K | |
| 2020 | 4,909 | $186K | |
| 2021 | 1,323 | $38K | |
| 2022 | 4,976 | $205K | |
| 2023 | 1,338 | $73K | |
| 2024incomplete | 951 | $57K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 25% | 1,199 | 1,078 | $168K |
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 2,907 | 2,904 | $114K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 3,328 | 3,327 | $90K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 894 | 571 | $68K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 3,832 | 3,829 | $52K |
| D1110 | Prophylaxis - adult | 7.2% | 915 | 915 | $49K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.3% | 711 | 493 | $36K |
| D1351 | Sealant - per tooth | 3.2% | 623 | 214 | $22K |
| D0272 | Bitewings - two radiographic images | 2.9% | 987 | 986 | $20K |
| D0150 | Comprehensive oral evaluation - new or established patient | 2.0% | 491 | 490 | $14K |
| D0274 | Bitewings - four radiographic images | 2.0% | 379 | 379 | $13K |
| D2150 | Silver amalgam - two surfaces, primary or permanent | 1.6% | 144 | 101 | $11K |
5 more codes
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.