Dental
Elite Dental
Elite Dental was paid $29K by Medicaid between Jan 2018 and Nov 2019, across 6 billing codes. Its largest line is D1110, Prophylaxis - adult — 38% of everything it billed.
33Billing provider infoELITE DENTAL
REGO PARK, NY 11374
REGO PARK, NY 11374
33aNPI1295990422assigned 07/28/2008
33bProvider typeGeneral Practice Dentistry
28Total paid$29K
24GClaims1,494
24DCodes billed6
24AFirst – last monthJan 2018 – Nov 2019
Compared with peers
Next to other General Practice Dentistry providers in New York
Rank by total paid#1,294 of 2,184
Median peer was paid$54K
This provider vs. median0.5×
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 | 673 | $13K | |
| 2019 | 821 | $16K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 38% | 287 | 284 | $11K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 21% | 299 | 296 | $6K |
| D0210 | Intraoral - complete series of radiographic images | 16% | 253 | 252 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 14% | 315 | 315 | $4K |
| D0220 | Intraoral - periapical first radiographic image | 11% | 328 | 328 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | <1% | 12 | 12 | $119.20 |
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 officialISAKHAROV, RAFAEL (SOLE PROPRIETOR)
| Provider | Location | Paid |
|---|---|---|
| Ri Dental Care PC | Bronx, NY | $421K |
| Rafael Isakharov DDS PC | Rego Park, NY | $125K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.