Clinic
Montefiore Medical Center
Montefiore Medical Center was paid $19K by Medicaid between Dec 2018 and Oct 2024, across 10 billing codes. Its largest line is D0120, dental checkup, returning patient — 27% of everything it billed.
33Billing provider infoMONTEFIORE MEDICAL CENTER
BRONX, NY 10463
BRONX, NY 10463
33aNPI1205110038assigned 09/28/2011
33bProvider typeDental Clinic/Center
28Total paid$19K
24GClaims1,522
24DCodes billed10
24AFirst – last monthDec 2018 – Oct 2024
Compared with peers
Next to other Dental Clinic/Center providers in New York
Rank by total paid#139 of 188
Median peer was paid$113K
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 | 41 | $192.50 | |
| 2019 | 251 | $4K | |
| 2020 | 112 | $2K | |
| 2021 | 133 | $1K | |
| 2022 | 752 | $9K | |
| 2023 | 198 | $2K | |
| 2024incomplete | 35 | $142.00 |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 27% | 236 | 236 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 27% | 120 | 120 | $5K |
| D0274 | Bitewings - four radiographic images | 17% | 179 | 179 | $3K |
| D0230 | Intraoral - periapical each additional radiographic image | 12% | 686 | 273 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 6.1% | 83 | 83 | $1K |
| D1206 | Topical application of fluoride varnish | 4.2% | 40 | 39 | $788.00 |
| D0330 | Panoramic radiographic image | 3.9% | 24 | 24 | $735.00 |
| D0220 | Intraoral - periapical first radiographic image | 1.6% | 66 | 65 | $307.86 |
| D0272 | Bitewings - two radiographic images | 1.4% | 25 | 25 | $266.00 |
| D1330 | 0% | 63 | 63 | $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 officialDOWLING, MICHAEL (CHIEF ADMINSTRATION OFFICER)
| Provider | Location | Paid |
|---|---|---|
| Montefiore North Ambulatory Care Center INC | Bronx, NY | $569K |
| Gun Hill Mri PC | Bronx, NY | $302K |
| Montefiore Medical Center | Bronx, NY | $14K |
| Montefiore Medical Center | Bronx, NY | $0.00 |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.