Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Fulton Dental Health Assoc

Fulton Dental Health Assoc was paid $16.79M by Medicaid between Jan 2018 and Dec 2024, across 41 billing codes. Its largest line is D2740, Crown - porcelain/ceramic — 46% of everything it billed.

33Billing provider infoFULTON DENTAL HEALTH ASSOC
FULTON, NY 13069
33aNPI1932290210assigned 09/28/2006
28Total paid$16.79M
24GClaims88,965
24DCodes billed41
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#3 of 2,184
Median peer was paid$54K
This provider vs. median313×

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$500K$1.0M2018201920202021202220232024
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
20183,941$372K
20194,880$481K
20204,230$403K
20215,797$571K
20223,785$1.36M
202322,279$6.91M
2024incomplete44,053$6.69M
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2740 Crown - porcelain/ceramic 46% 6,743 1,827 $7.77M
D7210 Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth 13% 7,775 2,543 $2.23M
D7240 Removal of impacted tooth - completely bony 8.6% 2,032 1,101 $1.44M
D1110 Prophylaxis - adult 3.7% 9,417 9,417 $625K
D9223 Deep sedation/general anesthesia - each subsequent 15 minute increment 3.3% 1,735 1,731 $549K
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 3.2% 3,729 2,305 $540K
D3330 Endodontic therapy, molar tooth (excluding final restoration) 2.5% 480 454 $415K
D0150 Comprehensive oral evaluation - new or established patient 1.9% 6,390 6,390 $314K
D7140 Extraction, erupted tooth or exposed root 1.5% 1,426 796 $246K
D2391 Resin-based composite - one surface, posterior, primary or permanent 1.4% 2,145 1,366 $237K
D3320 1.4% 338 292 $231K
D0274 Bitewings - four radiographic images 1.3% 5,297 5,297 $226K
29 more codes
D0330 Panoramic radiographic image 1.3% 3,256 $225K
D1120 Dental cleaning, child 1.3% 4,259 $217K
D9222 1.1% 1,597 $188K
D0120 Dental checkup, returning patient 1.0% 5,733 $172K
D0210 Intraoral - complete series of radiographic images <1% 4,591 $167K
D0140 Limited oral evaluation - problem focused <1% 3,661 $159K
D3310 <1% 224 $125K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent <1% 619 $105K
D2930 Prefabricated stainless steel crown - primary tooth <1% 433 $103K
D0220 Intraoral - periapical first radiographic image <1% 5,428 $94K
D1208 Topical application of fluoride, excluding varnish <1% 4,634 $64K
D1351 Sealant - per tooth <1% 1,376 $58K
D2954 <1% 260 $55K
D0230 Intraoral - periapical each additional radiographic image <1% 1,761 $47K
D1206 Topical application of fluoride varnish <1% 1,475 $38K
D2335 <1% 179 $32K
D2330 <1% 280 $27K
D2331 <1% 175 $21K
D2332 <1% 116 $17K
D9230 Inhalation of nitrous oxide / analgesia, anxiolysis <1% 437 $13K
D0272 Bitewings - two radiographic images <1% 463 $12K
D9310 <1% 150 $11K
D4910 <1% 137 $9K
D3220 Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction <1% 69 $6K
D2394 <1% 15 $3K
D4342 <1% 28 $780.00
D9430 <1% 58 $119.70
D1999 0% 16 $0.00
D1330 0% 28 $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 officialSACKS, SHELDEN (PRESIDENT OWNER)