Dental
Roosevelt Field Mall Dental PC
Roosevelt Field Mall Dental PC was paid $90K by Medicaid between Jan 2018 and Nov 2024, across 13 billing codes. Its largest line is D1110, Prophylaxis - adult — 37% of everything it billed.
33Billing provider infoROOSEVELT FIELD MALL DENTAL PC
GARDEN CITY, NY 11530
GARDEN CITY, NY 11530
33aNPI1073638151assigned 03/20/2007
33bProvider typeGeneral Practice Dentistry
28Total paid$90K
24GClaims18,811
24DCodes billed13
24AFirst – last monthJan 2018 – Nov 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#914 of 2,184
Median peer was paid$54K
This provider vs. median1.7×
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 | 1,972 | $9K | |
| 2019 | 2,883 | $11K | |
| 2020 | 2,780 | $11K | |
| 2021 | 3,221 | $18K | |
| 2022 | 3,228 | $17K | |
| 2023 | 2,683 | $13K | |
| 2024incomplete | 2,044 | $11K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 37% | 2,778 | 2,778 | $33K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 25% | 3,976 | 3,973 | $23K |
| D0274 | Bitewings - four radiographic images | 11% | 2,077 | 2,072 | $10K |
| D0220 | Intraoral - periapical first radiographic image | 8.4% | 4,499 | 4,474 | $8K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.3% | 3,577 | 3,564 | $6K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 282 | 187 | $3K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 312 | 312 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 205 | 205 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 569 | 569 | $1K |
| D0272 | Bitewings - two radiographic images | <1% | 342 | 341 | $774.53 |
| D0140 | Limited oral evaluation - problem focused | <1% | 156 | 152 | $550.35 |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | <1% | 26 | 25 | $531.96 |
1 more codes
| D9310 | <1% | 12 | $183.75 |
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 officialMIKHAILOV, ALEXANDER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kings Plaza Dental PC | Brooklyn, NY | $153K |
| New Horizon Dental, P.C | Bronx, NY | $81K |
| Washington Heights Dental Practice, P.C | New York, NY | $73K |
| Newport Centre Dental | Jersey City, NJ | $65K |
| Livingston Mall Dental, PA | Livingston, NJ | $20K |
| Willowbrook Mall Dental, PA | Wayne, NJ | $9K |
| Monmouth Mall Dental, PA | Eatontown, NJ | $607.50 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.