Dental
SP Dental, PC
SP Dental, PC was paid $1.05M by Medicaid between Jan 2018 and Dec 2024, across 20 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoSP DENTAL, PC
NEW YORK, NY 10031
NEW YORK, NY 10031
33aNPI1932370970assigned 03/18/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$1.05M
24GClaims41,687
24DCodes billed20
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#132 of 2,184
Median peer was paid$54K
This provider vs. median20×
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 | 5,740 | $122K | |
| 2019 | 5,200 | $122K | |
| 2020 | 5,006 | $113K | |
| 2021 | 6,506 | $167K | |
| 2022 | 7,751 | $194K | |
| 2023 | 8,527 | $231K | |
| 2024incomplete | 2,957 | $103K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 5,622 | 5,614 | $225K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 7,036 | 7,032 | $153K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,287 | 810 | $120K |
| D0274 | Bitewings - four radiographic images | 10% | 5,070 | 5,069 | $110K |
| D0230 | Intraoral - periapical each additional radiographic image | 7.7% | 6,603 | 6,595 | $81K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 5.6% | 573 | 443 | $59K |
| D0220 | Intraoral - periapical first radiographic image | 5.4% | 6,717 | 6,709 | $57K |
| D2750 | 4.7% | 159 | 100 | $49K | |
| D1120 | Dental cleaning, childProphylaxis - child | 3.0% | 877 | 877 | $32K |
| D0210 | Intraoral - complete series of radiographic images | 3.0% | 5,181 | 5,173 | $32K |
| D2954 | 2.7% | 211 | 189 | $29K | |
| D2751 | Crown - porcelain fused to predominantly base metal | 2.3% | 55 | 42 | $24K |
8 more codes
| D1351 | Sealant - per tooth | 2.2% | 476 | $23K |
| D1206 | Topical application of fluoride varnish | 2.1% | 851 | $22K |
| D2791 | 1.4% | 41 | $15K | |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.3% | 266 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 150 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 201 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 231 | $592.30 |
| D1999 | 0% | 80 | $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 officialPONOMAREVA, SVETLANA (DENTIST/OWNER)