Dental
Calos, David
Calos, David was paid $64K by Medicaid between Jan 2018 and Jun 2021, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 42% of everything it billed.
33Billing provider infoCALOS, DAVID
BATAVIA, NY 14020
BATAVIA, NY 14020
33aNPI1851510283assigned 04/24/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$64K
24GClaims1,921
24DCodes billed12
24AFirst – last monthJan 2018 – Jun 2021
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,019 of 2,184
Median peer was paid$54K
This provider vs. median1.2×
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 | 300 | $9K | |
| 2019 | 1,379 | $49K | |
| 2020 | 142 | $4K | |
| 2021 | 100 | $3K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 42% | 952 | 952 | $27K |
| D1110 | Prophylaxis - adult | 20% | 233 | 233 | $13K |
| D0150 | Comprehensive oral evaluation - new or established patient | 7.2% | 159 | 159 | $5K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 6.9% | 55 | 43 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 5.9% | 92 | 92 | $4K |
| D0274 | Bitewings - four radiographic images | 5.6% | 111 | 111 | $4K |
| D0330 | Panoramic radiographic image | 4.4% | 68 | 68 | $3K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.6% | 19 | 13 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.7% | 79 | 79 | $1K |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 74 | 73 | $1K |
| D0140 | Limited oral evaluation - problem focused | 1.2% | 55 | 55 | $801.30 |
| D0272 | Bitewings - two radiographic images | <1% | 24 | 24 | $444.80 |
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.