Clinic
Pittsford Pediatric Dentistry PLLC
Pittsford Pediatric Dentistry PLLC was paid $295K by Medicaid between Jun 2021 and Dec 2024, across 7 billing codes. Its largest line is D1206, Topical application of fluoride varnish — 28% of everything it billed.
33Billing provider infoPITTSFORD PEDIATRIC DENTISTRY PLLC
PITTSFORD, NY 14534
PITTSFORD, NY 14534
33aNPI1992236806assigned 03/22/2017
33bProvider typeDental Clinic/Center
28Total paid$295K
24GClaims9,253
24DCodes billed7
24AFirst – last monthJun 2021 – Dec 2024
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#61 of 188
Median peer was paid$113K
This provider vs. median2.6×
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 | 1,117 | $35K | |
| 2022 | 2,734 | $87K | |
| 2023 | 2,642 | $83K | |
| 2024incomplete | 2,760 | $90K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1206 | Topical application of fluoride varnish | 28% | 2,860 | 2,859 | $82K |
| D1120 | Dental cleaning, childProphylaxis - child | 26% | 1,910 | 1,909 | $77K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 2,683 | 2,682 | $74K |
| D1110 | Prophylaxis - adult | 15% | 905 | 905 | $44K |
| D0272 | Bitewings - two radiographic images | 5.4% | 790 | 790 | $16K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 84 | 84 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 21 | 21 | $296.40 |
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 officialKOCHMAN, DORON (DENTIST/OWNER)