Dental
Adelberg Pediatric Dental PC
Adelberg Pediatric Dental PC was paid $656K by Medicaid between Nov 2021 and Mar 2023, across 19 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoADELBERG PEDIATRIC DENTAL PC
SMITHTOWN, NY 11787
SMITHTOWN, NY 11787
33aNPI1851579841assigned 02/01/2008
33bProvider typePediatric Dentist
28Total paid$656K
24GClaims24,248
24DCodes billed19
24AFirst – last monthNov 2021 – Mar 2023
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#142 of 514
Median peer was paid$196K
This provider vs. median3.3×
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 | |
|---|---|---|---|
| 2021 | 1,471 | $40K | |
| 2022 | 18,071 | $487K | |
| 2023 | 4,706 | $129K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 3,675 | 3,675 | $128K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 14% | 3,822 | 3,822 | $90K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,091 | 1,045 | $72K |
| D1351 | Sealant - per tooth | 10.0% | 786 | 718 | $65K |
| D1208 | Topical application of fluoride, excluding varnish | 7.8% | 4,457 | 4,457 | $51K |
| D1110 | Prophylaxis - adult | 6.6% | 939 | 939 | $44K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 5.4% | 841 | 810 | $36K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.2% | 395 | 385 | $34K |
| D0272 | Bitewings - two radiographic images | 4.3% | 2,042 | 2,042 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 4.2% | 640 | 618 | $27K |
| D0220 | Intraoral - periapical first radiographic image | 3.3% | 1,912 | 1,904 | $22K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.2% | 893 | 893 | $21K |
7 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.7% | 1,326 | $11K |
| D0274 | Bitewings - four radiographic images | 1.3% | 363 | $8K |
| D9990 | 1.2% | 354 | $8K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 510 | $6K |
| D1206 | Topical application of fluoride varnish | <1% | 119 | $3K |
| D0330 | Panoramic radiographic image | <1% | 71 | $2K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 12 | $616.36 |
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 officialHOLMES, AYNE (OFFICE MANAGER)