Dental
North Tonawanda Family Dentistry PC
North Tonawanda Family Dentistry PC was paid $681K by Medicaid between Jan 2018 and Dec 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 34% of everything it billed.
33Billing provider infoNORTH TONAWANDA FAMILY DENTISTRY PC
NORTH TONAWANDA, NY 14120
NORTH TONAWANDA, NY 14120
33aNPI1730403924assigned 03/17/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$681K
24GClaims17,999
24DCodes billed13
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#226 of 2,184
Median peer was paid$54K
This provider vs. median13×
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 | 1,489 | $57K | |
| 2019 | 1,525 | $52K | |
| 2020 | 1,872 | $65K | |
| 2021 | 3,558 | $126K | |
| 2022 | 4,464 | $159K | |
| 2023 | 2,830 | $113K | |
| 2024incomplete | 2,261 | $108K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 34% | 4,411 | 4,411 | $233K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 26% | 6,550 | 6,550 | $176K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 736 | 437 | $63K |
| D0210 | Intraoral - complete series of radiographic images | 8.8% | 1,233 | 1,233 | $60K |
| D1120 | Dental cleaning, childProphylaxis - child | 7.4% | 1,193 | 1,193 | $51K |
| D0274 | Bitewings - four radiographic images | 5.3% | 1,373 | 1,373 | $36K |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 1,956 | 1,956 | $27K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 3.1% | 216 | 131 | $21K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 86 | 69 | $6K |
| D0330 | Panoramic radiographic image | <1% | 137 | 137 | $5K |
| D1351 | Sealant - per tooth | <1% | 32 | 26 | $3K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 59 | 58 | $555.78 |
1 more codes
| D0140 | Limited oral evaluation - problem focused | <1% | 17 | $238.00 |
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 officialVACANTI, ANGELA (PATIENT CARE COORDINATOR)