Medicaid Provider SpendingClaims paid 2018–2024 · HHS public file
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Dental

Fulton Park Plaza Dental Care P C

Fulton Park Plaza Dental Care P C was paid $1.01M by Medicaid between Jan 2018 and Oct 2024, across 14 billing codes. Its largest line is D2392, Resin-based composite - two surfaces, posterior, primary or permanent — 37% of everything it billed.

33Billing provider infoFULTON PARK PLAZA DENTAL CARE P C
JAMAICA, NY 11435
33aNPI1073791323assigned 02/07/2008
28Total paid$1.01M
24GClaims21,045
24DCodes billed14
24AFirst – last monthJan 2018 – Oct 2024
Compared with peers

Next to other General Practice Dentistry providers in New York

Rank by total paid#143 of 2,184
Median peer was paid$54K
This provider vs. median19×

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

$0$10K$20K$30K2018201920202021202220232024
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
YearClaimsPaid
20182,035$157K
20191,327$84K
20201,650$103K
20213,112$164K
20224,650$205K
20235,012$186K
2024incomplete3,259$109K
Box 24 · Service lines

What it billed for

CodeServiceShareClaimsBene. recordsPaid
D2392 Resin-based composite - two surfaces, posterior, primary or permanent 37% 4,809 1,622 $376K
D2391 Resin-based composite - one surface, posterior, primary or permanent 22% 4,537 1,636 $223K
D2330 9.5% 1,978 882 $96K
D2393 Resin-based composite - three surfaces, posterior, primary or permanent 7.3% 893 502 $74K
D1110 Prophylaxis - adult 6.8% 1,965 1,957 $69K
D2335 6.0% 477 255 $60K
D0120 Dental checkup, returning patientPeriodic oral evaluation - established patient 4.4% 2,276 2,268 $44K
D0330 Panoramic radiographic image 2.0% 893 890 $20K
D0230 Intraoral - periapical each additional radiographic image 1.7% 987 936 $17K
D0274 Bitewings - four radiographic images 1.5% 798 793 $15K
D0210 Intraoral - complete series of radiographic images <1% 1,193 1,186 $8K
D2394 <1% 29 25 $4K
2 more codes
D0220 Intraoral - periapical first radiographic image <1% 185 $2K
D1208 Topical application of fluoride, excluding varnish <1% 25 $266.80

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 officialMUKIT, MOHAMMED (PRESIDENT)