Dental
Staten Island Mall Dental, P.C.
Staten Island Mall Dental, P.C. was paid $289K by Medicaid between Jan 2018 and Dec 2024, across 18 billing codes. Its largest line is D1110, Prophylaxis - adult — 21% of everything it billed.
33Billing provider infoSTATEN ISLAND MALL DENTAL, P.C.
STATEN ISLAND, NY 10314
STATEN ISLAND, NY 10314
33aNPI1013139237assigned 05/03/2007
33bProvider typeDentist
28Total paid$289K
24GClaims37,032
24DCodes billed18
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#340 of 1,649
Median peer was paid$49K
This provider vs. median5.8×
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 | |
|---|---|---|---|
| 2018 | 5,025 | $49K | |
| 2019 | 6,687 | $56K | |
| 2020 | 4,786 | $36K | |
| 2021 | 4,623 | $41K | |
| 2022 | 5,890 | $40K | |
| 2023 | 5,742 | $39K | |
| 2024incomplete | 4,279 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 21% | 4,166 | 4,166 | $60K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 7,206 | 7,200 | $59K |
| D8670 | Periodic orthodontic treatment visit | 16% | 205 | 205 | $47K |
| D0274 | Bitewings - four radiographic images | 9.8% | 3,713 | 3,710 | $28K |
| D0220 | Intraoral - periapical first radiographic image | 9.0% | 7,915 | 7,884 | $26K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.6% | 1,769 | 1,767 | $25K |
| D0230 | Intraoral - periapical each additional radiographic image | 4.2% | 6,172 | 6,159 | $12K |
| D1208 | Topical application of fluoride, excluding varnish | 3.5% | 2,159 | 2,158 | $10K |
| D0140 | Limited oral evaluation - problem focused | 2.8% | 1,801 | 1,795 | $8K |
| D0272 | Bitewings - two radiographic images | 2.6% | 1,692 | 1,690 | $7K |
| D0340 | <1% | 38 | 38 | $2K | |
| D8660 | <1% | 54 | 54 | $2K |
6 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 officialKRASNOV, ROSS (DENTIST)
| Provider | Location | Paid |
|---|---|---|
| Brass Mill Mall Dental L.L.P | Waterbury, CT | $1.26M |
| Town Center Dental of Stamford P.C. | Stamford, CT | $554K |
| Hudson Valley Plaza Dental LLP | Troy, NY | $278K |
| Hudson Valley Mall Dental LLP | Kingston, NY | $132K |
| 42ND Street Dental, Associates | New York, NY | $112K |
| Atlantic Terminal Dental, P.C. | Brooklyn, NY | $81K |
| Galleria Mall Dental PC | White Plains, NY | $72K |
| Palisades Mall Dental LLP | West Nyack, NY | $55K |
| Oakdale Mall Dental LLP | Johnson City, NY | $40K |
| Galleria Mall Dental PC | Middletown, NY | $27K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.