Dental
Galleria Mall Dental PC
Galleria Mall Dental PC was paid $72K by Medicaid between Apr 2018 and Dec 2024, across 9 billing codes. Its largest line is D1110, Prophylaxis - adult — 36% of everything it billed.
33Billing provider infoGALLERIA MALL DENTAL PC
WHITE PLAINS, NY 10601
WHITE PLAINS, NY 10601
33aNPI1023155470assigned 02/01/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$72K
24GClaims9,896
24DCodes billed9
24AFirst – last monthApr 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#980 of 2,184
Median peer was paid$54K
This provider vs. median1.3×
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 | 181 | $571.81 | |
| 2019 | 359 | $1K | |
| 2020 | 573 | $5K | |
| 2021 | 2,411 | $19K | |
| 2022 | 2,574 | $11K | |
| 2023 | 1,895 | $9K | |
| 2024incomplete | 1,903 | $27K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 36% | 1,435 | 1,435 | $26K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 24% | 1,982 | 1,979 | $17K |
| D0274 | Bitewings - four radiographic images | 19% | 1,539 | 1,537 | $14K |
| D0220 | Intraoral - periapical first radiographic image | 14% | 2,755 | 2,744 | $10K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.2% | 1,793 | 1,789 | $4K |
| D0140 | Limited oral evaluation - problem focused | <1% | 168 | 167 | $396.33 |
| D0330 | Panoramic radiographic image | <1% | 13 | 13 | $199.50 |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | <1% | 163 | 109 | $178.90 |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 48 | 48 | $23.80 |
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 (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Brass Mill Mall Dental L.L.P | Waterbury, CT | $1.26M |
| Town Center Dental of Stamford P.C. | Stamford, CT | $554K |
| Staten Island Mall Dental, P.C. | Staten Island, NY | $289K |
| 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 |
| 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.