Dental
Roosevelt 26 Dentistry P.C.
Roosevelt 26 Dentistry P.C. was paid $710K by Medicaid between Jan 2018 and Dec 2024, across 19 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoROOSEVELT 26 DENTISTRY P.C.
CORONA, NY 11368
CORONA, NY 11368
33aNPI1114237518assigned 10/19/2010
33bProvider typeGeneral Practice Dentistry
28Total paid$710K
24GClaims39,382
24DCodes billed19
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#220 of 2,184
Median peer was paid$54K
This provider vs. median13×
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 | 3,198 | $50K | |
| 2019 | 5,120 | $83K | |
| 2020 | 5,737 | $105K | |
| 2021 | 6,875 | $122K | |
| 2022 | 7,938 | $151K | |
| 2023 | 6,941 | $134K | |
| 2024incomplete | 3,573 | $65K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 6,136 | 6,133 | $213K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 23% | 8,061 | 8,056 | $160K |
| D0274 | Bitewings - four radiographic images | 13% | 5,045 | 5,044 | $94K |
| D0220 | Intraoral - periapical first radiographic image | 10% | 7,910 | 7,898 | $71K |
| D0230 | Intraoral - periapical each additional radiographic image | 9.9% | 8,319 | 8,304 | $70K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.7% | 334 | 250 | $19K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.6% | 452 | 332 | $18K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.2% | 495 | 494 | $15K |
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.9% | 229 | 138 | $13K |
| D0210 | Intraoral - complete series of radiographic images | 1.8% | 795 | 795 | $13K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 552 | 552 | $6K |
| D0140 | Limited oral evaluation - problem focused | <1% | 566 | 563 | $6K |
7 more codes
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 officialKHALILI, FARAMARZ (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Roosevelt 26 Dental Group PLLC | Corona, NY | $810K |
| Kings 26 Dentistry | Ozone Park, NY | $126K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.