Dental
Costelloe, Luisa
Costelloe, Luisa was paid $24K by Medicaid between Jan 2018 and Apr 2024, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 35% of everything it billed.
33Billing provider infoCOSTELLOE, LUISA
LONG ISLAND CITY, NY 11103
LONG ISLAND CITY, NY 11103
33aNPI1912099730assigned 09/29/2006
33bProvider typeDentist
28Total paid$24K
24GClaims1,485
24DCodes billed6
24AFirst – last monthJan 2018 – Apr 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#996 of 1,649
Median peer was paid$49K
This provider vs. median0.5×
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 | 184 | $3K | |
| 2019 | 125 | $2K | |
| 2020 | 197 | $3K | |
| 2021 | 316 | $5K | |
| 2022 | 166 | $3K | |
| 2023 | 407 | $7K | |
| 2024incomplete | 90 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 35% | 287 | 286 | $9K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 34% | 484 | 477 | $8K |
| D0274 | Bitewings - four radiographic images | 16% | 213 | 213 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 260 | 259 | $2K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.4% | 226 | 226 | $1K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 15 | 15 | $227.00 |
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.