Dental
Kids Dental Village
Kids Dental Village was paid $32.75M by Medicaid between Jan 2018 and Dec 2024, across 46 billing codes. Its largest line is D1120, dental cleaning, child — 16% of everything it billed.
33Billing provider infoKIDS DENTAL VILLAGE
WOODSIDE, NY 11377
WOODSIDE, NY 11377
33aNPI1023264645assigned 08/14/2008
33bProvider typePediatric Dentist
28Total paid$32.75M
24GClaims1,236,262
24DCodes billed46
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#4 of 514
Median peer was paid$196K
This provider vs. median167×
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 | 69,046 | $1.55M | |
| 2019 | 106,695 | $2.23M | |
| 2020 | 107,264 | $2.65M | |
| 2021 | 177,565 | $5.10M | |
| 2022 | 233,833 | $6.94M | |
| 2023 | 286,639 | $7.65M | |
| 2024incomplete | 255,220 | $6.62M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 16% | 126,104 | 126,100 | $5.29M |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 11% | 144,804 | 144,801 | $3.68M |
| D1351 | Sealant - per tooth | 8.5% | 60,819 | 24,865 | $2.79M |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 166,082 | 166,053 | $2.32M |
| D2930 | Prefabricated stainless steel crown - primary tooth | 6.3% | 15,556 | 9,026 | $2.07M |
| D1110 | Prophylaxis - adult | 6.0% | 41,692 | 41,692 | $1.96M |
| D8670 | Periodic orthodontic treatment visit | 5.6% | 7,565 | 7,540 | $1.82M |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 4.8% | 20,818 | 14,817 | $1.58M |
| D0272 | Bitewings - two radiographic images | 4.2% | 96,580 | 96,576 | $1.39M |
| D0220 | Intraoral - periapical first radiographic image | 3.6% | 135,951 | 135,765 | $1.18M |
| D0230 | Intraoral - periapical each additional radiographic image | 3.3% | 149,373 | 148,382 | $1.07M |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.2% | 19,310 | 13,836 | $1.04M |
34 more codes
| D0274 | Bitewings - four radiographic images | 3.1% | 41,401 | $1.03M |
| D7140 | Extraction, erupted tooth or exposed root | 2.7% | 16,184 | $888K |
| D8080 | Comprehensive orthodontic treatment of the adolescent dentition | 2.0% | 764 | $662K |
| D2335 | 1.1% | 2,933 | $374K | |
| D9994 | 1.1% | 24,453 | $352K | |
| D9993 | 1.1% | 24,446 | $352K | |
| D1354 | 1.1% | 13,874 | $348K | |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 11,247 | $321K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 2,483 | $251K |
| D0340 | <1% | 5,424 | $246K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 8,225 | $245K |
| D1310 | <1% | 24,538 | $222K | |
| D1330 | <1% | 24,514 | $222K | |
| D8660 | <1% | 6,623 | $190K | |
| D0330 | Panoramic radiographic image | <1% | 4,153 | $134K |
| D1206 | Topical application of fluoride varnish | <1% | 3,213 | $96K |
| D0350 | <1% | 7,863 | $91K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,337 | $74K |
| D0603 | <1% | 10,138 | $63K | |
| D9420 | <1% | 604 | $44K | |
| D8020 | <1% | 44 | $43K | |
| D0240 | <1% | 2,348 | $40K | |
| D0470 | <1% | 1,375 | $40K | |
| D0601 | <1% | 4,686 | $36K | |
| D0602 | <1% | 4,711 | $34K | |
| D8680 | <1% | 198 | $34K | |
| D2330 | <1% | 517 | $30K | |
| D8060 | <1% | 27 | $28K | |
| D0210 | Intraoral - complete series of radiographic images | <1% | 1,744 | $20K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 185 | $15K |
| D2332 | <1% | 73 | $8K | |
| D9110 | <1% | 109 | $3K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 162 | $2K |
| D9999 | Unspecified adjunctive procedure, by report | <1% | 12 | $800.00 |
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 officialATTAIE, ALI (FOUNDER/PEDIATRIC DENTIST)