Dental
Pediatric Dentistry on Park PLLC
Pediatric Dentistry on Park PLLC was paid $392K by Medicaid between Dec 2018 and Jul 2023, across 23 billing codes. Its largest line is D1120, dental cleaning, child — 25% of everything it billed.
33Billing provider infoPEDIATRIC DENTISTRY ON PARK PLLC
NEW YORK, NY 10028
NEW YORK, NY 10028
33aNPI1366866683assigned 02/06/2014
33bProvider typeDentist Anesthesiologist
28Total paid$392K
24GClaims16,293
24DCodes billed23
24AFirst – last monthDec 2018 – Jul 2023
Compared with peers
Next to other Dentist Anesthesiologist providers in New York
Rank by total paid#10 of 13
Median peer was paid$1.03M
This provider vs. median0.4×
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 | 112 | $2K | |
| 2019 | 1,249 | $21K | |
| 2020 | 2,178 | $39K | |
| 2021 | 4,404 | $82K | |
| 2022 | 5,090 | $154K | |
| 2023 | 3,260 | $93K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D1120 | Dental cleaning, childProphylaxis - child | 25% | 2,424 | 2,423 | $98K |
| D1351 | Sealant - per tooth | 16% | 1,120 | 426 | $64K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 13% | 1,951 | 1,951 | $51K |
| D1206 | Topical application of fluoride varnish | 8.9% | 1,191 | 1,191 | $35K |
| D0272 | Bitewings - two radiographic images | 5.7% | 1,343 | 1,342 | $22K |
| D2930 | Prefabricated stainless steel crown - primary tooth | 5.5% | 103 | 29 | $22K |
| D1208 | Topical application of fluoride, excluding varnish | 4.6% | 1,333 | 1,332 | $18K |
| D0220 | Intraoral - periapical first radiographic image | 4.0% | 1,151 | 1,147 | $16K |
| D9223 | Deep sedation/general anesthesia - each subsequent 15 minute increment | 3.7% | 56 | 54 | $14K |
| D0150 | Comprehensive oral evaluation - new or established patient | 3.1% | 396 | 396 | $12K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 2.8% | 132 | 81 | $11K |
| D2335 | 2.4% | 42 | 13 | $9K |
11 more codes
| D0230 | Intraoral - periapical each additional radiographic image | 1.5% | 678 | $6K |
| D1110 | Prophylaxis - adult | 1.4% | 93 | $5K |
| D9222 | <1% | 54 | $3K | |
| D3220 | Therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction | <1% | 32 | $3K |
| D7140 | Extraction, erupted tooth or exposed root | <1% | 12 | $1K |
| D1999 | 0% | 1,225 | $0.00 | |
| D0601 | 0% | 795 | $0.00 | |
| D1330 | 0% | 1,855 | $0.00 | |
| D0603 | 0% | 264 | $0.00 | |
| D0602 | 0% | 14 | $0.00 | |
| D1310 | 0% | 29 | $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 officialJACOBSON, BARRY (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Laser Dentistry for Children LLC | Flushing, NY | $12.37M |
| Pediatric Dentistry of Kingston PLLC | Kingston, NY | $12.26M |
| North Country Pediatric Dentistry PLLC | Plattsburgh, NY | $9.49M |
| LDFCB Dentistry | Bronx, NY | $8.66M |
| New Jersey Laser Dentistry | Teaneck, NJ | $8.50M |
| Pediatric Dentistry of Monsey | Suffern, NY | $5.54M |
| Pediatric Dentistry of Albany, PLLC | Albany, NY | $3.91M |
| Green Mountain Pediatric Dentistry, PLLC | South Burlington, VT | $1.29M |
| Laser Dentistry for Children | Teaneck, NJ | $1.17M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.