Clinic
Open Door Family Medical Center School Based Mobile Dental Van
Open Door Family Medical Center School Based Mobile Dental Van was paid $219K by Medicaid between Jan 2018 and Feb 2021, across 6 billing codes. Its largest line is D1120, dental cleaning, child — 77% of everything it billed.
33Billing provider infoOPEN DOOR FAMILY MEDICAL CENTER SCHOOL BASED MOBILE DENTAL VAN
OSSINING, NY 10562
OSSINING, NY 10562
33aNPI1073919973assigned 11/05/2014
33bProvider typeFederally Qualified Health Center (FQHC)
28Total paid$219K
24GClaims6,809
24DCodes billed6
24AFirst – last monthJan 2018 – Feb 2021
Compared with peers
Next to other Federally Qualified Health Center (FQHC) providers in New York
Rank by total paid#116 of 158
Median peer was paid$1.73M
This provider vs. median0.1×
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 | 3,032 | $97K | |
| 2019 | 3,147 | $109K | |
| 2020 | 551 | $13K | |
| 2021 | 79 | $0.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 77% | 5,538 | 842 | $168K |
| D1110 | Prophylaxis - adult | 10% | 776 | 113 | $23K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 8.9% | 210 | 97 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 3.7% | 74 | 41 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 0% | 158 | 25 | $0.00 |
| D0150 | Comprehensive oral evaluation - new or established patient | 0% | 53 | 13 | $0.00 |
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 officialMAZZOTTA, MARIA (CFO)
Parent organizationOPEN DOOR FAMILY MEDICAL CENTERS, INC
| Provider | Location | Paid |
|---|---|---|
| Open Door Family Medical Center, INC. | Brewster, NY | $2.08M |
| Open Door Family Medical Center INC | Saugerties, NY | $341K |
| Open Door Family Medical Center, INC. | Mount Kisco, NY | $56K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.