Dental
Pediatric Dentistry of Monsey
Pediatric Dentistry of Monsey was paid $5.54M by Medicaid between Jan 2018 and Dec 2024, across 40 billing codes. Its largest line is D1120, dental cleaning, child — 17% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY OF MONSEY
SUFFERN, NY 10901
SUFFERN, NY 10901
33aNPI1013344332assigned 10/01/2013
33bProvider typeDentist Anesthesiologist
28Total paid$5.54M
24GClaims241,016
24DCodes billed40
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist Anesthesiologist providers in New York
Rank by total paid#4 of 13
Median peer was paid$1.03M
This provider vs. median5.4×
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 | 17,609 | $393K | |
| 2019 | 28,547 | $761K | |
| 2020 | 32,110 | $742K | |
| 2021 | 45,253 | $914K | |
| 2022 | 43,054 | $1.08M | |
| 2023 | 32,997 | $746K | |
| 2024incomplete | 41,446 | $911K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 17% | 27,102 | 27,098 | $939K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 16% | 9,778 | 8,123 | $871K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 12% | 28,136 | 28,131 | $661K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 8.2% | 2,921 | 2,513 | $456K |
| D0272 | Bitewings - two radiographic images | 5.6% | 22,616 | 22,597 | $311K |
| D1206 | Topical application of fluoride varnish | 5.3% | 12,572 | 12,567 | $292K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 4.8% | 4,696 | 4,048 | $266K |
| D1351 | Sealant - per tooth | 4.6% | 4,677 | 2,718 | $256K |
| D1208 | Topical application of fluoride, excluding varnish | 4.2% | 18,470 | 18,465 | $233K |
| D0220 | Intraoral - periapical first radiographic image | 4.1% | 20,591 | 20,530 | $225K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 3.6% | 471 | 469 | $200K |
| D1110 | Prophylaxis - adult | 3.5% | 4,232 | 4,231 | $196K |
28 more codes
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 2.2% | 1,419 | $124K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 14,798 | $90K |
| D0274 | Bitewings - four radiographic images | 1.5% | 3,468 | $81K |
| D7140 | Extraction, erupted tooth or exposed root | 1.4% | 1,737 | $79K |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 2,390 | $55K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 434 | $51K |
| D2332 | <1% | 371 | $44K | |
| D9222 | <1% | 481 | $27K | |
| D2335 | <1% | 84 | $19K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 1,428 | $14K |
| D9310 | <1% | 182 | $11K | |
| D9995 | <1% | 658 | $11K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 954 | $10K |
| D2330 | <1% | 149 | $9K | |
| D2331 | <1% | 65 | $5K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 80 | $2K |
| D9110 | <1% | 80 | $2K | |
| D0270 | <1% | 131 | $1K | |
| D1510 | <1% | 12 | $1K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 93 | $643.63 |
| D0330 | Panoramic radiographic image | <1% | 21 | $478.72 |
| D7111 | <1% | 13 | $392.70 | |
| D0601 | 0% | 3,626 | $0.00 | |
| D1310 | 0% | 10,250 | $0.00 | |
| D0603 | 0% | 11,773 | $0.00 | |
| D1330 | 0% | 19,146 | $0.00 | |
| D0602 | 0% | 2,179 | $0.00 | |
| D1999 | 0% | 8,732 | $0.00 |
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.
From NPPES
Who's on the registration
Authorized officialJACOBSON, BARRY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Laser Dentistry for Children LLC | Flushing, NY | $12.37M |
| Pediatric Dentistry of Kingston PLLC | Kingston, NY | $12.26M |
| North Country Pediatric Dentistry PLLC | Plattsburgh, NY | $9.49M |
| LDFCB Dentistry | Bronx, NY | $8.66M |
| New Jersey Laser Dentistry | Teaneck, NJ | $8.50M |
| Pediatric Dentistry of Albany, PLLC | Albany, NY | $3.91M |
| Green Mountain Pediatric Dentistry, PLLC | South Burlington, VT | $1.29M |
| Laser Dentistry for Children | Teaneck, NJ | $1.17M |
| Pediatric Dentistry on Park PLLC | New York, NY | $392K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.