Dental
Nicoletti, Jason
Nicoletti, Jason was paid $473K by Medicaid between Jan 2018 and Nov 2024, across 24 billing codes. Its largest line is D3220, Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction — 27% of everything it billed.
33Billing provider infoNICOLETTI, JASON
POUGHKEEPSIE, NY 12601
POUGHKEEPSIE, NY 12601
33aNPI1720283054assigned 06/18/2007
33bProvider typeDentist
28Total paid$473K
24GClaims9,418
24DCodes billed24
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#220 of 1,649
Median peer was paid$49K
This provider vs. median9.6×
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 | 1,188 | $31K | |
| 2019 | 1,980 | $68K | |
| 2020 | 2,210 | $88K | |
| 2021 | 258 | $18K | |
| 2022 | 715 | $53K | |
| 2023 | 1,159 | $45K | |
| 2024incomplete | 1,908 | $170K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | 27% | 1,049 | 193 | $126K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 26% | 766 | 192 | $124K |
| D1110 | Prophylaxis - adult | 13% | 1,281 | 1,281 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 6.5% | 1,227 | 1,225 | $31K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.0% | 350 | 184 | $24K |
| D0274 | Bitewings - four radiographic images | 4.1% | 802 | 802 | $19K |
| D0330 | Panoramic radiographic image | 3.7% | 588 | 587 | $18K |
| D0230 | Intraoral - periapical each additional radiographic image | 2.9% | 799 | 657 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 2.3% | 1,087 | 1,076 | $11K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.3% | 270 | 270 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 328 | 328 | $9K |
| D9420 | 1.4% | 81 | 81 | $6K |
12 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 1.2% | 67 | $6K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 291 | $4K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 56 | $3K |
| D0140 | Limited oral evaluation - problem focused | <1% | 195 | $3K |
| D1351 | Sealant - per tooth | <1% | 50 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 30 | $1K |
| D2331 | <1% | 18 | $1K | |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 18 | $1K |
| D1206 | Topical application of fluoride varnish | <1% | 12 | $312.50 |
| D0272 | Bitewings - two radiographic images | <1% | 20 | $280.00 |
| D0270 | <1% | 13 | $102.60 | |
| D1999 | 0% | 20 | $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.