Dental
Montefiore Medical Center
Montefiore Medical Center was paid $11.66M by Medicaid between Feb 2018 and Dec 2024, across 59 billing codes. Its largest line is D0120, dental checkup, returning patient — 31% of everything it billed.
33Billing provider infoMONTEFIORE MEDICAL CENTER
BRONX, NY 10467
BRONX, NY 10467
33aNPI1275710519assigned 01/29/2008
33bProvider typeEndodontist
28Total paid$11.66M
24GClaims297,300
24DCodes billed59
24AFirst – last monthFeb 2018 – Dec 2024
Compared with peers
Next to other Endodontist providers in New York
Rank by total paid#1 of 44
Median peer was paid$21K
This provider vs. median543×
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 | 191 | $14K | |
| 2019 | 4,934 | $473K | |
| 2020 | 25,699 | $1.43M | |
| 2021 | 91,438 | $2.56M | |
| 2022 | 122,502 | $4.24M | |
| 2023 | 33,140 | $1.31M | |
| 2024incomplete | 19,396 | $1.64M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 31% | 65,314 | 56,742 | $3.66M |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | 16% | 17,957 | 16,776 | $1.84M |
| D1120 | Dental cleaning, childProphylaxis - child | 7.1% | 22,943 | 22,679 | $824K |
| D7140 | Extraction, erupted tooth or exposed root | 4.9% | 10,699 | 7,590 | $568K |
| D1351 | Sealant - per tooth | 4.7% | 12,336 | 5,835 | $543K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 4.1% | 3,917 | 2,737 | $477K |
| D0330 | Panoramic radiographic image | 3.1% | 11,978 | 11,744 | $359K |
| D1354 | 3.0% | 16,837 | 7,576 | $353K | |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.6% | 4,966 | 4,185 | $308K |
| D1206 | Topical application of fluoride varnish | 2.5% | 11,821 | 11,778 | $294K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 5,342 | 4,246 | $248K |
| D0272 | Bitewings - two radiographic images | 2.0% | 18,602 | 18,524 | $229K |
47 more codes
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 2.0% | 2,375 | $228K |
| D0150 | Comprehensive oral evaluation - new or established patient | 1.7% | 6,924 | $193K |
| D1208 | Topical application of fluoride, excluding varnish | 1.5% | 14,009 | $172K |
| D1110 | Prophylaxis - adult | 1.4% | 4,410 | $168K |
| D0274 | Bitewings - four radiographic images | 1.1% | 6,786 | $133K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 1.1% | 1,661 | $124K |
| D7240 | Removal of impacted tooth - completely bony | <1% | 343 | $116K |
| D9222 | <1% | 2,029 | $113K | |
| D0220 | Intraoral - periapical first radiographic image | <1% | 11,923 | $100K |
| D0230 | Intraoral - periapical each additional radiographic image | <1% | 7,625 | $76K |
| D0140 | Limited oral evaluation - problem focused | <1% | 4,409 | $69K |
| D8670 | Periodic orthodontic treatment visit | <1% | 279 | $65K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 3,922 | $64K |
| D3330 | Endodontic therapy, molar tooth (excluding final restoration) | <1% | 133 | $45K |
| D9310 | <1% | 1,248 | $41K | |
| D3320 | <1% | 148 | $39K | |
| D0240 | <1% | 2,419 | $30K | |
| D0367 | <1% | 97 | $27K | |
| D7230 | <1% | 103 | $19K | |
| D0145 | Oral evaluation for a patient under three years of age | <1% | 539 | $16K |
| D6010 | <1% | 19 | $14K | |
| D3310 | <1% | 64 | $13K | |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 206 | $12K |
| D9610 | <1% | 866 | $11K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 141 | $10K |
| D8660 | <1% | 401 | $10K | |
| D0340 | <1% | 196 | $9K | |
| D2331 | <1% | 134 | $7K | |
| D0470 | <1% | 189 | $6K | |
| D2330 | <1% | 113 | $5K | |
| D0270 | <1% | 447 | $4K | |
| D0350 | <1% | 219 | $2K | |
| D9920 | <1% | 253 | $2K | |
| D2335 | <1% | 15 | $2K | |
| D4341 | <1% | 36 | $2K | |
| D9110 | <1% | 72 | $2K | |
| D9630 | <1% | 604 | $1K | |
| D9230 | Inhalation of nitrous oxide / analgesia, anxiolysis | <1% | 2,230 | $960.71 |
| D2332 | <1% | 12 | $846.59 | |
| D1330 | <1% | 11,880 | $572.04 | |
| D1999 | 0% | 462 | $0.00 | |
| D0180 | 0% | 13 | $0.00 | |
| D9215 | 0% | 2,798 | $0.00 | |
| D9999 | Unspecified adjunctive procedure, by report | 0% | 1,697 | $0.00 |
| D9248 | 0% | 68 | $0.00 | |
| D6999 | 0% | 25 | $0.00 | |
| D5899 | 0% | 46 | $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 (DIRECTOR OF PROVIDER SERVICES AND N)
Parent organizationMONTEFIORE MEDICAL CENTER
| 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.