Dental
South Central Dental Implant PLLC
South Central Dental Implant PLLC was paid $2.99M by Medicaid between Jan 2018 and Dec 2024, across 27 billing codes. Its largest line is D2750, — 24% of everything it billed.
33Billing provider infoSOUTH CENTRAL DENTAL IMPLANT PLLC
VALLEY STREAM, NY 11580
VALLEY STREAM, NY 11580
33aNPI1144767773assigned 01/20/2017
33bProvider typeDentist
28Total paid$2.99M
24GClaims40,788
24DCodes billed27
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#23 of 1,649
Median peer was paid$49K
This provider vs. median60×
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 | 1,385 | $90K | |
| 2019 | 1,373 | $84K | |
| 2020 | 3,814 | $179K | |
| 2021 | 6,774 | $415K | |
| 2022 | 6,493 | $360K | |
| 2023 | 10,923 | $793K | |
| 2024incomplete | 10,026 | $1.06M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D2750 | 24% | 1,955 | 795 | $717K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 21% | 6,087 | 3,235 | $623K |
| D2394 | 14% | 5,931 | 1,597 | $431K | |
| D2335 | 9.3% | 3,433 | 1,271 | $277K | |
| D2332 | 6.8% | 2,069 | 1,195 | $203K | |
| D1110 | Prophylaxis - adult | 4.3% | 3,353 | 3,328 | $129K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 3.9% | 1,528 | 1,190 | $117K |
| D2954 | 2.8% | 932 | 608 | $85K | |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.9% | 2,620 | 2,604 | $58K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 1.8% | 1,301 | 1,026 | $54K |
| D0274 | Bitewings - four radiographic images | 1.6% | 2,247 | 2,237 | $49K |
| D0330 | Panoramic radiographic image | 1.6% | 2,023 | 2,012 | $47K |
15 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 1.3% | 723 | $39K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 2,076 | $29K |
| D0120 | Dental checkup, returning patient | <1% | 1,391 | $29K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 111 | $27K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 103 | $20K |
| D2331 | <1% | 229 | $14K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 1,060 | $11K |
| D3320 | <1% | 57 | $11K | |
| D0140 | Limited oral evaluation - problem focused | <1% | 409 | $4K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 706 | $4K |
| D0272 | Bitewings - two radiographic images | <1% | 190 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 171 | $2K |
| D4341 | <1% | 43 | $2K | |
| D1120 | Dental cleaning, child | <1% | 26 | $772.51 |
| D7450 | 0% | 14 | $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 officialIVRY, MICHAEL (OWNER)