Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Pediatric Dentistry of Albany, PLLC

Pediatric Dentistry of Albany, PLLC was paid $3.91M by Medicaid between Jan 2018 and Dec 2024, across 28 billing codes. Its largest line is D1120, dental cleaning, child — 22% of everything it billed.

33Billing provider infoPEDIATRIC DENTISTRY OF ALBANY, PLLC
ALBANY, NY 12203
33aNPI1881936441assigned 03/21/2013
33bProvider typeDentist Anesthesiologist
28Total paid$3.91M
24GClaims130,618
24DCodes billed28
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other Dentist Anesthesiologist providers in New York

Rank by total paid#5 of 13
Median peer was paid$1.03M
This provider vs. median3.8×

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$50K$100K2018201920202021202220232024
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
201811,593$301K
201915,949$365K
202020,273$462K
202125,132$657K
202220,035$693K
202319,775$738K
2024incomplete17,861$698K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D1120 Dental cleaning, childProphylaxis - child 22% 17,803 17,794 $875K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 15% 18,834 18,828 $575K
D1351 Sealant - per tooth 10.0% 7,277 2,910 $390K
D1206 Topical application of fluoride varnish 9.5% 10,862 10,858 $373K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 9.2% 3,984 2,788 $361K
D1110 Prophylaxis - adult 7.1% 4,901 4,899 $277K
D2391 Resin-based composite - one surface, posterior, primary or permanent 4.6% 2,796 2,014 $178K
D0272 Bitewings - two radiographic images 4.5% 9,818 9,813 $175K
D1208 Topical application of fluoride, excluding varnish 4.4% 10,843 10,837 $172K
D0150 Comprehensive oral evaluation - new or established patient 2.9% 3,241 3,239 $113K
D0274 Bitewings - four radiographic images 2.4% 3,158 3,156 $94K
D7140 Extraction, erupted tooth or exposed root 2.4% 1,509 1,047 $93K
16 more codes
D0330 Panoramic radiographic image 1.8% 1,813 $71K
D0220 Intraoral - periapical first radiographic image 1.2% 3,332 $48K
D2930 Prefabricated stainless steel crown - primary tooth <1% 259 $37K
D0230 Intraoral - periapical each additional radiographic image <1% 2,753 $26K
D9995 <1% 958 $18K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 89 $9K
D0140 Limited oral evaluation - problem focused <1% 631 $9K
D0210 Intraoral - complete series of radiographic images <1% 223 $9K
D0145 Oral evaluation for a patient under three years of age <1% 191 $7K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 221 $3K
D0602 0% 774 $0.00
D1330 0% 9,744 $0.00
D0603 0% 6,155 $0.00
D1310 0% 2,591 $0.00
D0601 0% 2,183 $0.00
D1999 0% 3,675 $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 officialJACOBSON, BARRY (CEO)
Same official

Other billing entities under JACOBSON, BARRY

Full network →
ProviderLocationPaid
Laser Dentistry for Children LLCFlushing, NY$12.37M
Pediatric Dentistry of Kingston PLLCKingston, NY$12.26M
North Country Pediatric Dentistry PLLCPlattsburgh, NY$9.49M
LDFCB DentistryBronx, NY$8.66M
New Jersey Laser DentistryTeaneck, NJ$8.50M
Pediatric Dentistry of MonseySuffern, NY$5.54M
Green Mountain Pediatric Dentistry, PLLCSouth Burlington, VT$1.29M
Laser Dentistry for ChildrenTeaneck, NJ$1.17M
Pediatric Dentistry on Park PLLCNew York, NY$392K

Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.