Lis, Stanley

Lis, Stanley was paid $20K by Medicaid between Jan 2018 and Sep 2018, across 3 billing codes. Its largest line is D1110, Prophylaxis - adult — 54% of everything it billed.

33Billing provider infoLIS, STANLEY
DELMAR, NY 12054

33aNPI1770628877assigned 02/20/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$20K

24GClaims608

24DCodes billed3

24AFirst – last monthJan 2018 – Sep 2018

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,406 of 2,184

Median peer was paid$54K

This provider vs. median0.4×

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	608	$20K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	54%	238	237	$11K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	31%	240	239	$6K
D0274	Bitewings - four radiographic images	15%	130	129	$3K

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.