Dental
Portville Dental PLLC
Portville Dental PLLC was paid $406.00 by Medicaid between Oct 2019 and Oct 2019, across 1 billing code. Its largest line is D0120, dental checkup, returning patient — 100% of everything it billed.
33Billing provider infoPORTVILLE DENTAL PLLC
PORTVILLE, NY 14770
PORTVILLE, NY 14770
33aNPI1740494137assigned 05/09/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$406.00
24GClaims14
24DCodes billed1
24AFirst – last monthOct 2019 – Oct 2019
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#2,087 of 2,184
Median peer was paid$54K
This provider vs. median0.0×
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 | 14 | $406.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 100% | 14 | 14 | $406.00 |
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 officialMCDIVITT, OLIN (OWNER)