Dental
Rochester Pediatric Dentistry PLLC
Rochester Pediatric Dentistry PLLC was paid $476K by Medicaid between Sep 2021 and Dec 2024, across 16 billing codes. Its largest line is D1120, dental cleaning, child — 29% of everything it billed.
33Billing provider infoROCHESTER PEDIATRIC DENTISTRY PLLC
PITTSFORD, NY 14534
PITTSFORD, NY 14534
33aNPI1972271005assigned 09/02/2021
33bProvider typePediatric Dentist
28Total paid$476K
24GClaims15,823
24DCodes billed16
24AFirst – last monthSep 2021 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#175 of 514
Median peer was paid$196K
This provider vs. median2.4×
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 | |
|---|---|---|---|
| 2021 | 1,161 | $37K | |
| 2022 | 5,239 | $159K | |
| 2023 | 5,441 | $170K | |
| 2024incomplete | 3,982 | $110K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 29% | 3,551 | 3,550 | $139K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 28% | 4,948 | 4,948 | $133K |
| D1110 | Prophylaxis - adult | 12% | 1,113 | 1,113 | $57K |
| D1208 | Topical application of fluoride, excluding varnish | 10% | 3,536 | 3,536 | $49K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.6% | 284 | 186 | $22K |
| D1206 | Topical application of fluoride varnish | 4.1% | 685 | 684 | $19K |
| D1351 | Sealant - per tooth | 3.6% | 451 | 154 | $17K |
| D0272 | Bitewings - two radiographic images | 3.5% | 849 | 848 | $17K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 3.2% | 151 | 140 | $15K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 94 | 63 | $5K |
| D0330 | Panoramic radiographic image | <1% | 28 | 28 | $1K |
| D0220 | Intraoral - periapical first radiographic image | <1% | 60 | 57 | $1K |
4 more codes
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 officialDIMARCO, ERICA (PEDIATRIC DENTIST)