Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Mcdonnell and Mcmahon Pediatric Dentistry PLLC

Mcdonnell and Mcmahon Pediatric Dentistry PLLC was paid $57.17M by Medicaid between Jan 2018 and Dec 2024, across 43 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 15% of everything it billed.

33Billing provider infoMCDONNELL AND MCMAHON PEDIATRIC DENTISTRY PLLC
CLIFTON PARK, NY 12065
33aNPI1821486754assigned 12/30/2014
33bProvider typePediatric Dentist
28Total paid$57.17M
24GClaims1,096,665
24DCodes billed43
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Pediatric Dentist providers in New York

Rank by total paid#1 of 514
Median peer was paid$196K
This provider vs. median292×

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

$0$500K$1.0M$1.5M2018201920202021202220232024
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
YearClaimsPaid
201867,160$3.49M
201990,441$5.18M
2020116,420$6.13M
2021183,327$10.01M
2022194,671$10.74M
2023227,032$11.56M
2024incomplete217,614$10.06M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 15% 48,116 24,181 $8.71M
D1120 Dental cleaning, childProphylaxis - child 13% 192,311 192,296 $7.57M
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 13% 211,726 211,710 $7.50M
D2930 Prefabricated stainless steel crown - primary tooth 11% 25,913 10,216 $6.39M
D1208 Topical application of fluoride, excluding varnish 5.9% 138,746 138,738 $3.37M
D1110 Prophylaxis - adult 4.5% 47,465 47,461 $2.54M
D1206 Topical application of fluoride varnish 4.3% 88,369 88,363 $2.46M
D7140 Extraction, erupted tooth or exposed root 4.0% 20,663 12,135 $2.27M
D2391 Resin-based composite - one surface, posterior, primary or permanent 3.9% 17,047 10,893 $2.20M
D0272 Bitewings - two radiographic images 3.7% 75,487 75,477 $2.12M
D0330 Panoramic radiographic image 2.6% 22,322 22,320 $1.51M
D1351 Sealant - per tooth 2.6% 25,321 10,900 $1.49M
31 more codes
D0274 Bitewings - four radiographic images 2.2% 29,211 $1.28M
D0150 Comprehensive oral evaluation - new or established patient 1.8% 24,842 $1.04M
D8080 Comprehensive orthodontic treatment of the adolescent dentition 1.3% 766 $720K
D2390 1.1% 2,409 $628K
D0240 1.1% 21,085 $609K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 1.1% 2,948 $603K
D8670 Periodic orthodontic treatment visit 1.0% 2,523 $582K
D0230 Intraoral - periapical each additional radiographic image <1% 23,908 $556K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment <1% 2,121 $528K
D0220 Intraoral - periapical first radiographic image <1% 26,964 $470K
D1510 <1% 1,278 $328K
D9222 <1% 2,195 $281K
D0145 Oral evaluation for a patient under three years of age <1% 8,689 $259K
D2330 <1% 1,600 $192K
D0210 Intraoral - complete series of radiographic images <1% 10,176 $183K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 8,134 $169K
D0140 Limited oral evaluation - problem focused <1% 7,842 $136K
D2931 <1% 393 $119K
D2332 <1% 478 $83K
D9243 <1% 287 $45K
D0340 <1% 1,066 $37K
00170 Anesthesia for intraoral procedures, including biopsy <1% 186 $30K
D9248 <1% 1,036 $29K
D9239 <1% 281 $29K
D0270 <1% 1,640 $29K
D2335 <1% 108 $24K
D2331 <1% 67 $10K
D7111 <1% 223 $8K
D0273 <1% 93 $2K
D9612 <1% 376 $2K
D9996 <1% 254 $1K

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 officialMCDONNELL, JAMES (MEMBER)