Dental
Port Washington Dental Care
Port Washington Dental Care was paid $965K by Medicaid between Jan 2018 and Dec 2024, across 25 billing codes. Its largest line is D1110, Prophylaxis - adult — 20% of everything it billed.
33Billing provider infoPORT WASHINGTON DENTAL CARE
PORT WASHINGTON, NY 11050
PORT WASHINGTON, NY 11050
33aNPI1881918712assigned 03/22/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$965K
24GClaims46,910
24DCodes billed25
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#154 of 2,184
Median peer was paid$54K
This provider vs. median18×
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 | 2,932 | $45K | |
| 2019 | 4,510 | $66K | |
| 2020 | 6,530 | $104K | |
| 2021 | 7,127 | $140K | |
| 2022 | 8,127 | $188K | |
| 2023 | 8,817 | $209K | |
| 2024incomplete | 8,867 | $213K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 20% | 4,482 | 4,480 | $193K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 6,569 | 6,567 | $149K |
| D0274 | Bitewings - four radiographic images | 12% | 5,078 | 5,075 | $115K |
| D1120 | Dental cleaning, childProphylaxis - child | 11% | 3,015 | 3,013 | $105K |
| D0220 | Intraoral - periapical first radiographic image | 7.7% | 7,213 | 7,134 | $74K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 6,530 | 6,496 | $60K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 5.1% | 821 | 537 | $49K |
| D1351 | Sealant - per tooth | 4.1% | 789 | 272 | $40K |
| D0210 | Intraoral - complete series of radiographic images | 3.3% | 999 | 992 | $31K |
| D1208 | Topical application of fluoride, excluding varnish | 3.0% | 2,450 | 2,450 | $29K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.8% | 696 | 452 | $27K |
| D1206 | Topical application of fluoride varnish | 2.5% | 972 | 972 | $24K |
13 more codes
| D2750 | 2.5% | 49 | $24K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.6% | 707 | $15K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 109 | $8K |
| D0140 | Limited oral evaluation - problem focused | <1% | 745 | $8K |
| D0240 | <1% | 450 | $7K | |
| D9310 | <1% | 118 | $5K | |
| D0340 | <1% | 24 | $1K | |
| D8660 | <1% | 27 | $667.00 | |
| D0350 | <1% | 41 | $468.38 | |
| D0601 | <1% | 110 | $110.00 | |
| D1999 | 0% | 419 | $0.00 | |
| D1310 | 0% | 2,258 | $0.00 | |
| D1330 | 0% | 2,239 | $0.00 |
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 officialKOKOLIS, MICHAEL (OWNER/PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Bell Dental Care | Bayside, NY | $1.47M |
| Arista Dental Care, PC | Astoria, NY | $273K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.