Dental
Willowbrook Mall Dental, PA
Willowbrook Mall Dental, PA was paid $9K by Medicaid between Jan 2018 and Apr 2019, across 7 billing codes. Its largest line is D0120, dental checkup, returning patient — 54% of everything it billed.
33Billing provider infoWILLOWBROOK MALL DENTAL, PA
WAYNE, NJ 07470
WAYNE, NJ 07470
33aNPI1174685713assigned 12/13/2006
33bProvider typeGeneral Practice Dentistry
28Total paid$9K
24GClaims892
24DCodes billed7
24AFirst – last monthJan 2018 – Apr 2019
Compared with peers
Next to other General Practice Dentistry providers in New Jersey
Rank by total paid#544 of 790
Median peer was paid$43K
This provider vs. median0.2×
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 | 751 | $8K | |
| 2019 | 141 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 54% | 346 | 346 | $5K |
| D1110 | Prophylaxis - adult | 25% | 130 | 130 | $2K |
| D0220 | Intraoral - periapical first radiographic image | 9.6% | 239 | 238 | $847.50 |
| D0230 | Intraoral - periapical each additional radiographic image | 5.0% | 107 | 107 | $442.75 |
| D0272 | Bitewings - two radiographic images | 2.5% | 44 | 44 | $220.00 |
| D1120 | Dental cleaning, childProphylaxis - child | 2.1% | 13 | 13 | $182.00 |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 13 | 13 | $130.00 |
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 officialMIKHAILOV, ALEXANDER (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Kings Plaza Dental PC | Brooklyn, NY | $153K |
| Roosevelt Field Mall Dental PC | Garden City, NY | $90K |
| 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 |
| 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.