Davy, Dmitry

Davy, Dmitry was paid $122K by Medicaid between Jan 2018 and Nov 2024, across 7 billing codes. Its largest line is D1110, Prophylaxis - adult — 49% of everything it billed.

33Billing provider infoDAVY, DMITRY
REGO PARK, NY 11374

33aNPI1780789552assigned 09/14/2006

33bProvider typeDentist

28Total paid$122K

24GClaims4,219

24DCodes billed7

24AFirst – last monthJan 2018 – Nov 2024

Compared with peers

Next to other Dentist providers in New York

Rank by total paid#576 of 1,649

Median peer was paid$49K

This provider vs. median2.5×

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	1,817	$47K
2019	1,050	$29K
2020	235	$9K
2021	217	$8K
2022	208	$7K
2023	346	$12K
2024incomplete	346	$11K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	49%	1,267	1,267	$60K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	36%	1,775	1,775	$44K
D0274	Bitewings - four radiographic images	4.4%	235	235	$5K
D0220	Intraoral - periapical first radiographic image	3.9%	444	444	$5K
D0230	Intraoral - periapical each additional radiographic image	3.2%	344	344	$4K
D0330	Panoramic radiographic image	2.6%	112	112	$3K
D1208	Topical application of fluoride, excluding varnish	<1%	42	42	$454.40

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.