Dentist In Newark New York

NPI list of 15 dentist registered providers with a business address in Newark, NY of which 4 are registered as organizations and 11 as individuals. A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

NPI Name Type Taxonomy Address Medicare PECOS
1053395046RONALD JAMES BOYDIndividualDentist114 HIGH ST
NEWARK, NY 14513
(315) 331-4530
Non-Participating ProviderYES
1083744734MERLYN PATRICIA BAULDIEIndividualDentist703 E MAPLE AVE FLDDSO ARTICLE 16 CLINIC
NEWARK, NY 14513
(315) 331-1700
Non-Participating ProviderNO
1104849660WILLIAM EDWARD DINGUSIndividualDentist
(Orthodontics and Dentofacial Orthopedics)
110 HIGH ST
NEWARK, NY 14513
(585) 278-1063
Non-Participating ProviderNO
1386640621THOMAS JAMES MILLERIndividualDentist
(General Practice)
111 MASON ST
NEWARK, NY 14513
(315) 331-4115
Non-Participating ProviderNO
1386768869STEPHEN PATRICK MOONEYIndividualDentist631 S MAIN ST
NEWARK, NY 14513
(315) 331-3552
Non-Participating ProviderNO
1396825451MICHAEL SEAN ADSITIndividualDentist
(General Practice)
1000 DRIVING PARK AVE
NEWARK, NY 14513
(315) 331-6324
Non-Participating ProviderYES
1417099045TIMOTHY FRANCIS BRADYIndividualDentist
(General Practice)
111 MASON ST
NEWARK, NY 14513
(315) 331-4115
Non-Participating ProviderYES
1508064874JONATHAN JOSEPH HOCHREITERIndividualDentist114 HIGH ST
NEWARK, NY 14513
(315) 331-4530
Non-Participating ProviderYES
1518015262DINGUS AND RIVOLI ORTHODONTICSOrganizationDentist
(Orthodontics and Dentofacial Orthopedics)
110 HIGH ST
NEWARK, NY 14513
(315) 331-3726
Non-Participating ProviderNO
1598775066STEPHEN P MOONEY DDS PCOrganizationDentist631 S MAIN ST
NEWARK, NY 14513
(315) 331-3552
Non-Participating ProviderNO
1609851161FREDERICK DEWITT HICKSIndividualDentist114 HIGH ST
NEWARK, NY 14513
(315) 331-4530
Non-Participating ProviderYES
1699866400JONATHAN S CAREYIndividualDentist
(General Practice)
111 MASON ST
NEWARK, NY 14513
(315) 331-4115
Non-Participating ProviderNO
1740607241NEWARK FAMILY DENTAL PLLCOrganizationDentist
(General Practice)
111 MASON ST
NEWARK, NY 14513
(315) 331-4115
Non-Participating ProviderNO
1801973953JAMES E PRAINOIndividualDentist
(General Practice)
111 MASON ST
NEWARK, NY 14513
(315) 331-4115
Non-Participating ProviderNO
1912164013PALLAVI NARENDRANATH DDSOrganizationDentist
(General Practice)
631 S MAIN ST
NEWARK, NY 14513
(315) 331-3552
Non-Participating ProviderNO

Medicare Participation

  • Participating providers are registered with Medicare and accept claims assignment. Taking claims assignment means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or co-payment amount for a visit or service.
  • Non-Participating providers do not agree to take Medicare claims assignment. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.
  • Opt-out providers signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so.

What is PECOS?

PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals eligible to order or refer healthcare services for Medicare patients.