Dental
Grand Dental Care PC
Grand Dental Care PC was paid $51K by Medicaid between Jan 2018 and Jul 2019, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoGRAND DENTAL CARE PC
NORTH BALDWIN, NY 11510
NORTH BALDWIN, NY 11510
33aNPI1053689463assigned 12/13/2011
33bProvider typeProsthodontist
28Total paid$51K
24GClaims2,432
24DCodes billed13
24AFirst – last monthJan 2018 – Jul 2019
Compared with peers
Next to other Prosthodontist providers in New York
Rank by total paid#7 of 15
Median peer was paid$12K
This provider vs. median4.4×
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 | 1,709 | $36K | |
| 2019 | 723 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 371 | 370 | $15K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 488 | 488 | $11K |
| D0274 | Bitewings - four radiographic images | 9.9% | 226 | 226 | $5K |
| D0220 | Intraoral - periapical first radiographic image | 9.5% | 456 | 451 | $5K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 8.3% | 72 | 54 | $4K |
| D1120 | Dental cleaning, childProphylaxis - child | 6.4% | 100 | 100 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 6.3% | 257 | 257 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.7% | 347 | 347 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 1.9% | 15 | 12 | $942.70 |
| D0272 | Bitewings - two radiographic images | 1.2% | 43 | 43 | $584.40 |
| D0150 | Comprehensive oral evaluation - new or established patient | <1% | 13 | 13 | $240.94 |
| D0140 | Limited oral evaluation - problem focused | <1% | 31 | 30 | $214.64 |
1 more codes
| D9430 | <1% | 13 | $171.30 |
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 officialCHAVEZ-ROMERO, FLORA (PRESIDENT)