Dental
Tse, Douglas
Tse, Douglas was paid $772K by Medicaid between Sep 2022 and Nov 2024, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 20% of everything it billed.
33Billing provider infoTSE, DOUGLAS
STATEN ISLAND, NY 10305
STATEN ISLAND, NY 10305
33aNPI1972941144assigned 06/11/2013
33bProvider typeGeneral Practice Dentistry
28Total paid$772K
24GClaims35,716
24DCodes billed23
24AFirst – last monthSep 2022 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#201 of 2,184
Median peer was paid$54K
This provider vs. median14×
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 | |
|---|---|---|---|
| 2022 | 6,209 | $139K | |
| 2023 | 16,750 | $363K | |
| 2024incomplete | 12,757 | $270K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 20% | 3,526 | 3,519 | $154K |
| D1351 | Sealant - per tooth | 16% | 6,386 | 1,574 | $121K |
| D1206 | Topical application of fluoride varnish | 15% | 3,713 | 3,707 | $114K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 11% | 1,304 | 767 | $88K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 9.5% | 2,968 | 2,963 | $73K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 6.0% | 870 | 576 | $47K |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | 4.9% | 1,552 | 1,508 | $38K |
| D1353 | 3.4% | 2,976 | 680 | $26K | |
| D0272 | Bitewings - two radiographic images | 2.2% | 1,804 | 1,801 | $17K |
| D0603 | 1.9% | 2,209 | 2,205 | $15K | |
| D7140 | Extraction, erupted tooth or exposed root | 1.8% | 220 | 151 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 561 | 560 | $13K |
11 more codes
| D0220 | Intraoral - periapical first radiographic image | 1.7% | 3,065 | $13K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.0% | 2,858 | $8K |
| D0274 | Bitewings - four radiographic images | 1.0% | 707 | $8K |
| D1110 | Prophylaxis - adult | <1% | 233 | $7K |
| D0140 | Limited oral evaluation - problem focused | <1% | 125 | $5K |
| D0601 | <1% | 450 | $3K | |
| D2930 | Prefabricated stainless steel crown - primary tooth | <1% | 26 | $3K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 23 | $2K |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 25 | $1K |
| D9920 | <1% | 39 | $850.00 | |
| D0602 | <1% | 76 | $640.00 |
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.