Walton Dental PLLC

Walton Dental PLLC was paid $53K by Medicaid between Jan 2018 and Feb 2020, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.

33Billing provider infoWALTON DENTAL PLLC
WALTON, NY 13856

33aNPI1790971869assigned 09/21/2007

33bProvider typeGeneral Practice Dentistry

28Total paid$53K

24GClaims2,037

24DCodes billed9

24AFirst – last monthJan 2018 – Feb 2020

Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#1,096 of 2,184

Median peer was paid$54K

This provider vs. median1.0×

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
2018	803	$22K
2019	954	$23K
2020	280	$7K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
D1110	Prophylaxis - adult	38%	364	364	$20K
D0120	Dental checkup, returning patientPeriodic oral evaluation - established patient	27%	518	517	$14K
D0220	Intraoral - periapical first radiographic image	11%	450	450	$6K
D0230	Intraoral - periapical each additional radiographic image	9.8%	380	380	$5K
D0210	Intraoral - complete series of radiographic images	4.6%	46	46	$2K
D0272	Bitewings - two radiographic images	3.9%	128	128	$2K
D1208	Topical application of fluoride, excluding varnish	3.3%	126	126	$2K
D1120	Dental cleaning, childProphylaxis - child	<1%	12	12	$516.00
D0274	Bitewings - four radiographic images	<1%	13	13	$377.00

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 officialLYUBARSKIY, MAKSIM (OWNER)