Dental
Rockaway Family Dentistry PLLC
Rockaway Family Dentistry PLLC was paid $74K by Medicaid between Mar 2018 and Dec 2024, across 10 billing codes. Its largest line is D1110, Prophylaxis - adult — 30% of everything it billed.
33Billing provider infoROCKAWAY FAMILY DENTISTRY PLLC
JAMAICA, NY 11436
JAMAICA, NY 11436
33aNPI1316212897assigned 03/15/2012
33bProvider typeDentist
28Total paid$74K
24GClaims4,926
24DCodes billed10
24AFirst – last monthMar 2018 – Dec 2024
Compared with peers
Next to other Dentist providers in New York
Rank by total paid#717 of 1,649
Median peer was paid$49K
This provider vs. median1.5×
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 | 314 | $4K | |
| 2019 | 839 | $12K | |
| 2020 | 536 | $8K | |
| 2021 | 550 | $9K | |
| 2022 | 286 | $3K | |
| 2023 | 1,440 | $23K | |
| 2024incomplete | 961 | $15K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1110 | Prophylaxis - adult | 30% | 664 | 664 | $22K |
| D0274 | Bitewings - four radiographic images | 22% | 883 | 882 | $16K |
| D0220 | Intraoral - periapical first radiographic image | 15% | 1,193 | 1,192 | $11K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 402 | 401 | $8K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 8.3% | 307 | 307 | $6K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.8% | 1,122 | 1,121 | $5K |
| D1120 | Dental cleaning, childProphylaxis - child | 3.9% | 97 | 96 | $3K |
| D1208 | Topical application of fluoride, excluding varnish | 2.1% | 139 | 138 | $2K |
| D0210 | Intraoral - complete series of radiographic images | <1% | 107 | 107 | $567.47 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $148.85 |
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 officialSHAMTOUB, KOOROSH (PRESIDENT)
| Provider | Location | Paid |
|---|---|---|
| Cambria Dentistry PLLC | Cambria Heights, NY | $1.51M |
| Koorosh Shamtoub DDS PC | Brooklyn, NY | $675K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.