Dental
Kids Dental of Queens PC
Kids Dental of Queens PC was paid $1.33M by Medicaid between Sep 2020 and Dec 2024, across 25 billing codes. Its largest line is D1120, dental cleaning, child — 19% of everything it billed.
33Billing provider infoKIDS DENTAL OF QUEENS PC
ELMHURST, NY 11373
ELMHURST, NY 11373
33aNPI1346858677assigned 07/22/2020
33bProvider typePediatric Dentist
28Total paid$1.33M
24GClaims50,623
24DCodes billed25
24AFirst – last monthSep 2020 – Dec 2024
Compared with peers
Next to other Pediatric Dentist providers in New York
Rank by total paid#89 of 514
Median peer was paid$196K
This provider vs. median6.8×
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 | |
|---|---|---|---|
| 2020 | 405 | $9K | |
| 2021 | 6,335 | $178K | |
| 2022 | 24,902 | $718K | |
| 2023 | 11,723 | $271K | |
| 2024incomplete | 7,258 | $156K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 19% | 7,078 | 7,078 | $256K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 15% | 8,198 | 8,197 | $200K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 9.3% | 1,842 | 1,090 | $124K |
| D1206 | Topical application of fluoride varnish | 9.2% | 4,532 | 4,527 | $122K |
| D1351 | Sealant - per tooth | 8.6% | 2,671 | 1,072 | $115K |
| D0220 | Intraoral - periapical first radiographic image | 6.8% | 6,748 | 6,704 | $90K |
| D0274 | Bitewings - four radiographic images | 5.6% | 2,951 | 2,951 | $75K |
| D1354 | 4.2% | 1,873 | 664 | $56K | |
| D1208 | Topical application of fluoride, excluding varnish | 4.0% | 4,284 | 4,284 | $53K |
| D0230 | Intraoral - periapical each additional radiographic image | 3.9% | 4,981 | 4,971 | $52K |
| D1110 | Prophylaxis - adult | 3.5% | 989 | 989 | $47K |
| D0210 | Intraoral - complete series of radiographic images | 2.8% | 2,006 | 2,003 | $38K |
13 more codes
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.1% | 604 | $28K |
| D7140 | Extraction, erupted tooth or exposed root | 1.9% | 523 | $26K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 1.1% | 147 | $14K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | <1% | 144 | $10K |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 129 | $10K |
| D0140 | Limited oral evaluation - problem focused | <1% | 474 | $6K |
| D9243 | <1% | 15 | $3K | |
| D1320 | <1% | 216 | $2K | |
| D0240 | <1% | 82 | $2K | |
| D0272 | Bitewings - two radiographic images | <1% | 82 | $1K |
| D0330 | Panoramic radiographic image | <1% | 26 | $727.96 |
| D9239 | <1% | 14 | $567.46 | |
| D9612 | 0% | 14 | $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 officialHWANG, SOON (OWNER)