Supplier
5TH Avenue Dental Assoc LLP
5TH Avenue Dental Assoc LLP was paid $744.00 by Medicaid between Jan 2021 and Jan 2021, across 2 billing codes. Its largest line is D0150, Comprehensive oral evaluation - new or established patient — 52% of everything it billed.
33Billing provider info5TH AVENUE DENTAL ASSOC LLP
BROOKLYN, NY 11209
BROOKLYN, NY 11209
33aNPI1184742298assigned 03/27/2007
33bProvider typeCustomized Equipment (DME)
28Total paid$744.00
24GClaims28
24DCodes billed2
24AFirst – last monthJan 2021 – Jan 2021
Compared with peers
Next to other Customized Equipment (DME) providers in New York
Rank by total paid#48 of 49
Median peer was paid$325K
This provider vs. median0.0×
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 | |
|---|---|---|---|
| 2021 | 28 | $744.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0150 | Comprehensive oral evaluation - new or established patient | 52% | 16 | 16 | $384.00 |
| D0210 | Intraoral - complete series of radiographic images | 48% | 12 | 12 | $360.00 |
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 officialDIACOUMAKOS, GEORGE (OWNER)