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NPI 1437472792 · Mamaroneck, NY · Dentist
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John Finelli is a dentist provider located in Mamaroneck, New York. This profile covers 9 Medicare and 7 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.
Provider details (source: NPPES NPI Registry)
Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)
| Payer Source | Total Paid |
|---|---|
| Medicare | $375.9K |
| Medicaid | $17.5K |
Medicare revenue breakdown by CPT/HCPCS procedure code.
View: Bar Chart1 / 2
The CPT/HCPCS codes generating the most Medicare revenue for this provider.
9 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| 21215 | The provider applies bone graft material to the mandible, or lower jaw, to repair deformity of the mandible due to fracture, injury, tumor resection, or congenital defect, such as a thin mandible, to… | 50 | $3,000 | $138K |
| 21127 | The provider enlarges the lower jaw by applying bone graft material on top of the jaw bone to build it up or by inserting the graft material into layers of the bony tissue of the jaw. She performs… | 50 | $1,940 | $87.1K |
| 21210 | The provider applies bone graft material to the face to correct cosmetic deformities of the bony structures of the nose, upper jaw, and cheeks, caused by injury or disease. | 60 | $1,270 | $75K |
| 21209 | The provider surgically repairs and or alters the facial bones by osteoplasty, surgically incising the bone, to reduce the size of the bony structures. He performs this procedure to correct defects… | 50 | $390 | $20.8K |
| 21025 | In mandibular osteomyelitis, the mandible, or lower jaw bone, and its surrounding soft tissue become inflamed due to a bacterial infection, such as Staphylococcus aureus, which may have spread from… | 40 | $370 | $15.7K |
| 21206 | A provider performs a maxillary osteotomy, incising the maxilla, or upper jaw, and moving portions of the bone to correct facial deformities, congenital or acquired. | 30 | $470 | $12.8K |
| 21198 | A provider performs a mandibular osteotomy, incising the mandible, or lower jaw, and moving portions of the bone to correct facial deformities, congenital or acquired, such as a misaligned jaw. | 20 | $490 | $10.7K |
| 21026 | In osteomyelitis, the facial bones and surrounding soft tissue become inflamed due to a bacterial infection, such as Staphylococcus aureus, which may have spread from an infected tooth. An abscess… | 40 | $250 | $10.2K |
| 10120 | The provider removes a foreign body such as a thorn, piece of wood, sliver of glass or fishook, from the lower layer of skin. | 80 | $70 | $5.6K |
How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 9 CPT/HCPCS codes.
View: State1 / 2
Full comparison — all codes billed, vs. state median
Medicaid revenue breakdown by year and by CPT/HCPCS procedure code, including monthly billing trends and the top codes driving revenue.
View: By Year1 / 3
Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.
7 rows
| CPT/HCPCS Code | Description | Claims | Avg Paid | Revenue |
|---|---|---|---|---|
| D2393 | Resin-based composite, three surfaces, posterior | 50 | $130 | $6.4K |
| D2394 | N/A | 40 | $150 | $5.8K |
| D0120 | Periodic oral evaluation - established patient | 120 | $30 | $3.3K |
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 20 | $60 | $1.2K |
| D0274 | N/A | 10 | $30 | $350 |
| D0220 | Intraoral - periapical first radiographic image | 20 | $10 | $240 |
| D0230 | Intraoral - periapical each additional radiographic image | 10 | $10 | $80 |
How this provider's Medicaid billing volume and revenue compare to other New York providers billing the same CPT/HCPCS codes.
Full comparison — all codes billed, vs. New York median
7 rows
| CPT/HCPCS Code | Description | Rank | Provider Count | Median Claims | Avg Paid | Average Revenue |
|---|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult; cleaning and polishing of the teeth | 3,895 | 4,250 | 550 | $40 | $72.8K |
| D0120 | Periodic oral evaluation - established patient | 3,477 | 4,610 | 650 | $30 | $68.9K |
| D2393 | Resin-based composite, three surfaces, posterior | 559 | 880 | 100 | $90 | $34.7K |
| D2394 | N/A | 145 | 220 | 70 | $110 | $31.9K |
| D0274 | N/A | 3,319 | 3,440 | 360 | $20 | $30.3K |
| D0220 | Intraoral - periapical first radiographic image | 3,561 | 3,860 | 440 | $10 | $21K |
| D0230 | Intraoral - periapical each additional radiographic image | 3,033 | 3,130 | 480 | $10 | $16.8K |
Other providers in the same ZIP code as John Finelli, ranked by combined Medicare and Medicaid revenue.
| Provider | State | Taxonomy | Medicare Revenue | Medicaid Revenue |
|---|---|---|---|---|
| Integrated Health Administrative Services Inc. | NY | Mobile Radiology Clinic/Center | $3.6M | $3.4M |
| Soho Diagnostics Ink Corporation | NY | Mobile Radiology Clinic/Center | $919.7K | $220 |
| Sonographics Imaging Inc | NY | Diagnostic Ultrasound Physician | $902.7K | $1.1K |
| Eric Lubin | NY | Diagnostic Radiology Physician | $660.6K | $155.1K |
| Mark Tobak | NY | Psychiatry Physician | $329.6K | $0 |
| Seth Leven | NY | Internal Medicine Physician | $227.9K | $0 |
| Happy Thampikutty | NY | Occupational Therapist | $216.5K | $0 |
| Integrated Health Administrative Services Inc. | NY | Diagnostic Ultrasound Physician | $41.3K | $16.9K |
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